ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C. – NPI #1366620064
Clinic/Center
ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C. is an AHC clinic located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1366620064 to ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C. on February 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 8 years ago on Jan 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C. below.
NPI Profile for
ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C.
(more than 18 years ago)
CHAMPAIGN, IL 61821 Phone: (217) 356-3850 Fax: (217) 356-3876
CHAMPAIGN, IL 61822-8305 Phone: Fax:
PRESIDENT/MEDICAL DIRECTOR
Phone: (217) 356-3850
Identifiers for ADVANCED AESTHETICS SURGERY & LASER CENTER, P.C.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | STATE OF ILLINOIS | IL | 060.007842 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
IL | 060.007842 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.