Organization
SUPREME WELLNESS AESTHETICS & RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIKA PAVONE RN (OWNER)
(630) 635-6633
Entity
Organization
Contact information
Practice address
678 N NORTHWEST HWY STE C, PARK RIDGE, IL 60068-2540
(847) 653-6191
Mailing address
678 N NORTHWEST HWY STE C, PARK RIDGE, IL 60068-2540
(847) 653-6191
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
08/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us