Organization
MED AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KHAREL BAKER (OWNER)
(703) 951-3147
Entity
Organization
Contact information
Practice address
327 SOUTH BLVD, OAK PARK, IL 60302-2921
(708) 676-0288
Mailing address
327 SOUTH BLVD, OAK PARK, IL 60302-2921
(708) 676-0288
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
02/28/2022
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