Organization
BLUE SEAS MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER OLSON M.D. (MEDICAL DIRECTOR)
(630) 369-2767
Entity
Organization
Contact information
Practice address
1220 HOBSON RD, SUITE 216, NAPERVILLE, IL 60540-8139
(630) 369-2767
Mailing address
1220 HOBSON RD, SUITE 216, NAPERVILLE, IL 60540-8139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015238
IL
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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