Organization · Type 2 NPI

Medical Arts Clinic LLC

Anaplastologist · Chicago, IL

NPI number 1669150728 Active

Practice location

620 N La Salle Dr Ste 625
Chicago, IL 60654-3708

Specialties and licenses

TaxonomyCodeLicense
Ocularist 156FX1700XNone listed
Anaplastologist Primary 229N00000XNone listed

Anaplastologist: An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical…

About NPI 1669150728

Medical Arts Clinic LLC's National Provider Identifier is 1669150728, issued on Jul 10, 2023. The primary taxonomy on file is Anaplastologist (229N00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 6, 2025.