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Organization

BEST MEDSPA LLC

Active
Other names
Best MedSpa LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TAWAKALIT ALAO MSN, APRN, NP-C (MANAGER)
(773) 216-3223
Entity
Organization

Contact information

Practice address
426 KEVIN WAY, MATTESON, IL 60443-1182
(773) 216-3223
Mailing address
426 KEVIN WAY, MATTESON, IL 60443-1182
(773) 216-3223

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003404518
NURSING SERVICES
IL
01
1356096929
POINT OF CARE
IL
01
1780272294
NPPES
IL
Enumeration date
02/18/2022
Last updated
03/24/2022
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