Provider Demographics
NPI:1548783137
Name:THE ART & SCIENCE OF COSMETIC SURGERY
Entity Type:Organization
Organization Name:THE ART & SCIENCE OF COSMETIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUONO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:312-722-1133
Mailing Address - Street 1:3660 N LAKE SHORE DR APT 4101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-5317
Mailing Address - Country:US
Mailing Address - Phone:267-879-4268
Mailing Address - Fax:
Practice Address - Street 1:3660 N LAKE SHORE DR STE 210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-5302
Practice Address - Country:US
Practice Address - Phone:312-772-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036133475208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty