1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Anaplastologist
  6. NPI Profile

MEDICAL ARTS CLINIC LLC
NPI 1669150728
Anaplastologist in Chicago, IL

Active since July 10, 2023
620 N LA SALLE DR STE 625, CHICAGO, IL 60654(832) 725-5664 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Jul 10, 2023 (2 updates tracked since 2023).

About Medical Arts Clinic Llc NPPES

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

MEDICAL ARTS CLINIC LLC (NPI 1669150728) is a healthcare organization registered as an anaplastologist in Chicago, Illinois and active in the NPI registry since July 2023. The organization lists Eduardo Arias Amezquita, Anaplastologist /ocularist, as its authorized official.

NPPES Registry Identity

NPI1669150728
Entity TypeOrganization
Primary Taxonomy229N00000X
Legal Business NameMEDICAL ARTS CLINIC LLC
Location Address620 N LA SALLE DR STE 625Chicago, IL 60654-3708
Mailing Address620 N La Salle Dr Ste 625Chicago, IL 60654-3708 · (832) 725-5664
Phone(832) 725-5664
Organization SubpartNo
Authorized OfficialEduardo Arias AmezquitaAnaplastologist /ocularist · (832) 725-5664
Enumeration DateJuly 10, 2023
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1669150728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code229N00000X
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
Also ListedTechnician/Technologist · OcularistTaxonomy 156FX1700X
620 N LA SALLE DR STE 625, Chicago, IL 60654
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Medical Arts Clinic LLC's NPI number?

The NPI number for Medical Arts Clinic LLC is 1669150728. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Medical Arts Clinic LLC located?

Medical Arts Clinic LLC is located at 620 N La Salle Dr Ste 625, Chicago, IL 60654. The listed phone number is (832) 725-5664.

What is Medical Arts Clinic LLC's specialty?

The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.

When was this NPI record last updated?

The NPPES record for Medical Arts Clinic LLC was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.