Charming Skin Med Spa Sc

LBN: Charming Skin Med Spa Sc
Charming Skin Med Spa Sc is an health care organization with primary practice located at 2425 W 22Nd St Ste 216 , Oak Brook IL 60523-4662. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Charming Skin Med Spa Sc can be contacted via phone (708) 974-4270, or through Abboud, Jawdat via phone (708) 974-4270.

Contact Information

Primary practice address
2425 W 22Nd St Ste 216 Oak Brook IL 60523-4662
Phone: (708) 974-4270
Fax: (888) 466-3320
Website:
Map and Directions
Authorized official contact:
Name: Abboud, Jawdat Doctor of Medicine (MD)
Phone: (708) 974-4270

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1710250089
LBN Legal business name Charming Skin Med Spa Sc
DBA Doing business as
Authorized official Abboud, Jawdat Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2012
Last updated May 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710250089 NPPES
Illinois MEDICAID 036087208

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