Organization
THRIVE WELLNESS AND AESTHETICS, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE MILES MD (PRESIDENT)
(464) 444-5111
Entity
Organization
Contact information
Practice address
1536 W CHICAGO AVE, CHICAGO, IL 60642-5236
(464) 444-5111
(312) 910-5059
Mailing address
1536 W CHICAGO AVE, CHICAGO, IL 60642-5236
(464) 444-5111
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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