Provider Demographics
NPI:1982426573
Name:AESTHETIC CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:AESTHETIC CARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:JALAB
Authorized Official - Suffix:
Authorized Official - Credentials:FIRST SURGICAL ASSIS
Authorized Official - Phone:810-247-5373
Mailing Address - Street 1:9830 RIDGELAND AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-2668
Mailing Address - Country:US
Mailing Address - Phone:708-599-8000
Mailing Address - Fax:
Practice Address - Street 1:9830 RIDGELAND AVE STE 2A
Practice Address - Street 2:
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415-2668
Practice Address - Country:US
Practice Address - Phone:708-599-8000
Practice Address - Fax:708-599-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty