# MED SPA FOR ME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson-Miller Funeral Chapel, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437982931
- **Authorized official:** MS. CARRIE JOHNSON RN (PRESIDENT)
- **Authorized official phone:** (708) 267-4100

## Contact information

- **Practice address:** 4000 SAINT CHARLES RD, BELLWOOD, IL 60104-1133
- **Practice address phone:** (707) 267-4100
- **Mailing address:** 4000 SAINT CHARLES RD, BELLWOOD, IL 60104-1133
- **Mailing address phone:** (707) 267-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |
| 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