DEWOLFE AESTHETIC SERVICES SC – NPI #1467074617
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

DEWOLFE AESTHETIC SERVICES SC is a surgeon located in CHICAGO, IL. NPPES has assigned the NPI number 1467074617 to DEWOLFE AESTHETIC SERVICES SC on May 11, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 DEWOLFE AESTHETIC SERVICES SC below.

NPI Profile for
DEWOLFE AESTHETIC SERVICES SC

NPI Number
1467074617
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEWOLFE AESTHETIC SERVICES SC
Primary location
3357 N. SOUTHPORT AVEUNE
CHICAGO, IL 60657
Phone: (434) 284-8770 Fax: (914) 206-4144
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUDITH POLHEMUS
BILLING MANAGER
Phone: (434) 284-8770
Updated
Certification Date
May 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

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.