Suburban Medical Aesthetics, Pllc

NPI #1922781673 in Evanston, Illinois

Provider Information

NPI Number: 1922781673
Entity Type: Organization
Organization Name: Suburban Medical Aesthetics, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: SUBURBAN EYES CLINIC, LLC
Primary Specialty: Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Enumeration Date: Aug 9, 2023
Last Updated: Aug 9, 2023

Practice Location

Address: 500 DAVIS ST STE 810
City: Evanston
State: Illinois
ZIP Code: 60201-4655
Phone: (847) 424-1100

Authorized Official

Name: DR. PHILLIP C. WU, M.D.
Title: PHYSICIAN OWNER
Phone: (847) 424-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Ophthalmology - Cornea and External Diseases Specialist — Cornea and External Diseases Specialist	207WX0120X
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery	207WX0200X	Primary

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