63 LASER & SKIN CLINIC
NPI 1770983801
Clinic/Center - Health Service in Chicago, IL

Active since August 26, 2014
3918 W 63RD ST, CHICAGO, IL 60629(773) 284-9660(773) 284-9676 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About 63 Laser & Skin Clinic NPPES

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

63 LASER & SKIN CLINIC (NPI 1770983801) is a healthcare organization registered as a health service in Chicago, Illinois and active in the NPI registry since August 2014. The organization lists Amin Mashouf, Manager, as its authorized official.

NPPES Registry Identity

NPI1770983801
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMIDWAY COSMETIC INSTITUTE, LLC
Location Address3918 W 63RD STChicago, IL 60629-4604
Mailing AddressPo Box 11232Chicago, IL 60629-4604 · (773) 284-9660 · Fax (773) 284-9676
Fax(773) 284-9676
Organization SubpartNo
Authorized OfficialAmin MashoufManager · (773) 284-9660
Enumeration DateAugust 26, 2014
Last NPPES UpdateMarch 10, 2015
NPI 1770983801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3918 W 63RD ST, Chicago, IL 60629

Other Names 1

Doing Business As63 Laser & Skin Clinic

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
3918 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Ambulatory Surgical)
3918 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Health Service)
3918 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Ambulatory Surgical)
3918 W 63RD ST
CHICAGO, IL 60629
Chiropractor
3918 W 63RD ST
CHICAGO, IL 60629
Clinic/Center (Health Service)
3918 W 63RD ST
CHICAGO, IL 60629

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 Midway Cosmetic Institute, LLC's NPI number?

The NPI number for Midway Cosmetic Institute, LLC is 1770983801. It was assigned to this organization in the NPPES registry on August 26, 2014. The provider is doing business as 63 Laser & Skin Clinic.

Where is Midway Cosmetic Institute, LLC located?

Midway Cosmetic Institute, LLC is located at 3918 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 284-9660.

What is Midway Cosmetic Institute, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Midway Cosmetic Institute, LLC was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.