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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
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