Provider Demographics
NPI:1306447586
Name:AESTHETICS UNLIMITED, PLLC
Entity type:Organization
Organization Name:AESTHETICS UNLIMITED, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-664-2158
Mailing Address - Street 1:1247 ANTIETAM DR
Mailing Address - Street 2:
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-5123
Mailing Address - Country:US
Mailing Address - Phone:630-715-2853
Mailing Address - Fax:
Practice Address - Street 1:100 E WALTON ST STE 400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1448
Practice Address - Country:US
Practice Address - Phone:630-715-2853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1962700062Medicaid