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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