Midway Cosmetic Institute, LLC
NPI 1770983801 · Health Service Clinic/Center · Chicago, IL
Midway Cosmetic Institute, LLC is a Health Service Clinic/Center organization in Chicago, IL (NPI 1770983801).
Provider details
- NPI number
- 1770983801
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amin Mashouf, Manager(773) 284-9660
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- 63 Laser & Skin Clinic
Registry dates
- Enumerated
- 2014-08-26
- Last updated
- 2015-03-10
Frequently asked questions
- What is Midway Cosmetic Institute, LLC's NPI number?
- Midway Cosmetic Institute, LLC's National Provider Identifier (NPI) is 1770983801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midway Cosmetic Institute, LLC?
- Midway Cosmetic Institute, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Midway Cosmetic Institute, LLC located?
- Midway Cosmetic Institute, LLC's practice location on file with NPPES is 3918 W 63rd St, Chicago, IL 60629-4604.
- What is Midway Cosmetic Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Midway Cosmetic Institute, LLC is (773) 284-9660.
- Who is the authorized official for Midway Cosmetic Institute, LLC?
- The authorized official listed on Midway Cosmetic Institute, LLC's NPPES record is Amin Mashouf, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midway Cosmetic Institute, LLC's NPI active?
- Yes — Midway Cosmetic Institute, LLC's NPI (1770983801) is active in the NPPES registry as of the last update on 2015-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.