# CONCIERGE MEDICAL SPA INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215794813
- **Authorized official:** PAT EBELING MD (OWNER)
- **Authorized official phone:** (630) 715-2853

## Contact information

- **Practice address:** 785 WIND ENERGY PASS, BATAVIA, IL 60510-8958
- **Practice address phone:** (630) 715-2853
- **Mailing address:** 785 WIND ENERGY PASS, BATAVIA, IL 60510-8958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2024
- **Last updated:** 03/01/2024