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Organization

BEST MEDSPA LLC

Active
Other names
Best MedSpa LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TAWAKALIT ALAO MSN, APRN, FNP-C (ADMINISTRATOR)
(773) 216-3223
Entity
Organization

Contact information

Practice address
426 KEVIN WAY, MATTESON, IL 60443-1182
(773) 216-3223
Mailing address
426 KEVIN WAY, MATTESON, IL 60443-1182
(773) 216-3223

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003404518
NPI
IL
01
1780272294
NPI
IL
Enumeration date
02/13/2022
Last updated
02/15/2022
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  • EDI platform