Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iglow Aesthetics and Med SP

Organization Family Nurse Practitioner · NPI 1477266682

Iglow Aesthetics and Med SP provides Family Nurse Practitioner services in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2600 S Michigan Ave Ste Lld
Chicago, IL 60616
Phone: (312) 866-4642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1477266682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shammona Clark — Owner · (574) 298-3090
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 1, 2023
Mailing address2600 S Michigan Ave Ste Lld, Chicago, IL 60616

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