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Organization
MED SPA FOR ME, INC.
Active
Organization
MED SPA FOR ME, INC.
Active
Other names
Johnson-Miller Funeral Chapel, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE JOHNSON RN (PRESIDENT)
(708) 267-4100
Entity
Organization
Contact information
Practice address
4000 SAINT CHARLES RD, BELLWOOD, IL 60104-1133
(707) 267-4100
Mailing address
4000 SAINT CHARLES RD, BELLWOOD, IL 60104-1133
(707) 267-4100
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
NULL
163WG0000X
General Practice Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
NULL
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
NULL
163WP0000X
Pain Management Registered Nurse
—
—
163WU0100X
Urology Registered Nurse
—
NULL
163WU0100X
Urology Registered Nurse
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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