# CHARMING SKIN MED SPA SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710250089
- **Authorized official:** JAWDAT ABBOUD MD (OWNER)
- **Authorized official phone:** (708) 974-4270

## Contact information

- **Practice address:** 2425 W 22ND ST STE 216, OAK BROOK, IL 60523-4662
- **Practice address phone:** (708) 974-4270
- **Practice address fax:** (888) 466-3320
- **Mailing address:** 2425 W 22ND ST STE 216, OAK BROOK, IL 60523-4662
- **Mailing address phone:** (708) 974-4270
- **Mailing address fax:** (888) 466-3320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2012
- **Last updated:** 05/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036087208 | — | IL |