Southwest Aesthetics and Body Sculpture, LLC

NPI #1609017011 in Shorewood, Illinois

Provider Information

NPI Number: 1609017011
Entity Type: Organization
Organization Name: Southwest Aesthetics and Body Sculpture, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 13, 2009
Last Updated: Feb 18, 2011

Practice Location

Address: 217 VERTIN BLVD
City: Shorewood
State: Illinois
ZIP Code: 60404-8783
Phone: (815) 545-9772

Authorized Official

Name: DR. EUGENE CHIU, MD
Title: MANAGER MEMBER
Phone: (815) 545-9772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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