Organization
CHARMING SKIN MED SPA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAWDAT ABBOUD MD (OWNER)
(708) 974-4270
Entity
Organization
Contact information
Practice address
2425 W 22ND ST STE 216, OAK BROOK, IL 60523-4662
(708) 974-4270
(888) 466-3320
Mailing address
2425 W 22ND ST STE 216, OAK BROOK, IL 60523-4662
(708) 974-4270
(888) 466-3320
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087208
—
IL
Enumeration date
02/17/2012
Last updated
05/18/2012
Update your record
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