Divine Aesthetics Medspa & Wellness Center Inc
Divine Aesthetics Medspa & Wellness Center Inc provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6810 S Paxton AveChicago, IL 60649-1603 Not confirmed with CMS for 12 years — call before visiting
Phone: (866) 834-8463
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036.128645 (IL) |
|---|
Record details
| NPI number | 1689007403 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shanicka Williams — Owner · (855) 276-5212 |
| NPI enumerated | August 15, 2013 |
| Last updated in NPPES | October 28, 2013 |
| Mailing address | 6810 S Paxton Ave, Chicago, IL 60649-1603 |
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