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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC

Active Organization

DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC is a Family Medicine organization located in CHICAGO, Illinois. NPI 1689007403 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

Registration Details

NPI Number
1689007403
Provider Type
Organization
NPI Issued
Aug 15, 2013 (13.021446499504 yrs)
Last Updated
Oct 28, 2013
License
036.128645 (IL)

Practice Information

Address
6810 S PAXTON AVE
CHICAGO, IL, 606491603
Browse IL providers · Browse ZIP 60649
Phone
8668348463
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.