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Organization

MED SPA FOR ME, INC.

Active
Other names
Johnson-Miller Funeral Chapel, PC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARRIE JOHNSON RN (PRESIDENT)
(708) 267-4100
Entity
Organization

Contact information

Practice address
4000 SAINT CHARLES RD, BELLWOOD, IL 60104-1133
(707) 267-4100
Mailing address
4000 SAINT CHARLES RD, BELLWOOD, IL 60104-1133
(707) 267-4100

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
163WI0500X
Infusion Therapy Registered Nurse
163WP0000X
Pain Management Registered Nurse
163WU0100X
Urology Registered Nurse

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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