SOUTHWEST AESTHETICS AND BODY SCULPTURE, LLC
NPI 1609017011
Specialist in Shorewood, IL

Q: What is Southwest Aesthetics And Body Sculpture, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since March 13, 2009

217 VERTIN BLVD, SHOREWOOD, IL 60404(815) 545-9772 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southwest Aesthetics And Body Sculpture, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST AESTHETICS AND BODY SCULPTURE, LLC (NPI 1609017011) is a healthcare organization registered as a specialist in Shorewood, Illinois and active in the NPI registry since March 2009. The organization lists Eugene Chiu, Manager Member, as its authorized official.

NPPES Registry Identity

NPI1609017011

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHWEST AESTHETICS AND BODY SCULPTURE, LLC

Location Address217 VERTIN BLVDShorewood, IL 60404-8783

Mailing AddressPo Box 11009Olympia, WA 98508-1009 · (360) 352-2037 · Fax (360) 352-0637

Phone(815) 545-9772

Organization SubpartNo

Authorized OfficialEugene ChiuManager Member · (815) 545-9772

Enumeration DateMarch 13, 2009

Last NPPES UpdateFebruary 18, 2011

✔ NPI 1609017011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 1371

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

217 VERTIN BLVD, Shorewood, IL 60404

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Other Identifiers 21

Medicaid036088162IL

Medicaid036065985IL

Medicare PINIL2127001IL

Medicare UPINC43293IL

Medicare PINIL2127002IL

Medicare PINIL2127007IL

OtherP00870409IL · Rr Medicare Palmetto Gba

OtherDQ7598IL · Rr Medicare Palmetto Gba

Medicare PINIL2127006IL

Medicare UPINE85261IL

Medicare PINIL2127005IL

Medicare PINIL2127004IL

Medicare UPINK51606IL

Medicare UPING68537IL

Medicare UPINE10695IL

OtherP00870505IL · Rr Medicare Palmetto Gba

Medicare UPING88633IL

Medicaid036087434IL

Medicare UPING30922IL

Medicaid036053917IL

Medicare PINIL2127003IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Aesthetics And Body Sculpture, LLC's NPI number?

The NPI number for Southwest Aesthetics And Body Sculpture, LLC is 1609017011. It was assigned to this organization in the NPPES registry on March 13, 2009.

Where is Southwest Aesthetics And Body Sculpture, LLC located?

Southwest Aesthetics And Body Sculpture, LLC is located at 217 Vertin Blvd, Shorewood, IL 60404. The listed phone number is (815) 545-9772.

What is Southwest Aesthetics And Body Sculpture, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southwest Aesthetics And Body Sculpture, LLC was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.