Organization
IMAGES MED SPA OLD ORCHARD LLC
Active
Other names
Images Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GLAZER (OWNER)
(847) 530-5580
Entity
Organization
Contact information
Practice address
505 SKOKIE BLVD, WILMETTE, IL 60091-2131
(847) 853-1100
Mailing address
505 SKOKIE BLVD, WILMETTE, IL 60091-2131
(847) 853-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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