MEDICAL ARTS CLINIC LLC
NPI 1669150728
Anaplastologist in Chicago, IL

NPI Status: Active since July 10, 2023

Contact Information

620 N LA SALLE DR STE 625
CHICAGO, IL
ZIP 60654
Phone: (832) 725-5664

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  • Organization
  • Anaplastologist

About MEDICAL ARTS CLINIC LLC

This page provides the complete NPI Profile along with additional information for Medical Arts Clinic Llc, a provider established in Chicago, Illinois operating as a Anaplastologist. The healthcare provider is registered in the NPI registry with number 1669150728 assigned on July 2023. The practitioner's primary taxonomy code is 229N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Eduardo Arias Amezquita Cca (Anaplastologist /ocularist)

NPI
1669150728
Provider Name
MEDICAL ARTS CLINIC LLC
Entity Type
Organization
Location Address
620 N LA SALLE DR STE 625 CHICAGO, IL 60654
Location Phone
(832) 725-5664
Mailing Address
620 N LA SALLE DR STE 625 CHICAGO, IL 60654
Mailing Phone
(832) 725-5664
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2023
Last Update Date
02-06-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anaplastologist

Taxonomy Code
229N00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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 Anaplastologist (CCA).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1156FX1700XEye and Vision Services Providers

Technician/Technologist
Ocularist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDUARDO ARIAS AMEZQUITA CCA

Authorized Official Title
ANAPLASTOLOGIST /OCULARIST
Authorized Official Phone
(832) 725-5664

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669150728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612925074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 2 + 5 + 0 + 7 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1669150728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669150728, enumerated in the NPI registry as an "organization" on July 10, 2023

The provider is located at 620 N La Salle Dr Ste 625 Chicago, Il 60654 and the phone number is (832) 725-5664

This medical organization specializes in Anaplastologist with taxonomy code 229N00000X

This NPI record was last updated on July 10, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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