Glow Health And Wellness Medical Spa, Pc

LBN: Glow Health And Wellness Medical Spa, Pc
Glow Health And Wellness Medical Spa, Pc is an health care organization with primary practice located at 1528 W Monroe St Ste 100 , Chicago IL 60607-2460. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Glow Health And Wellness Medical Spa, Pc can be contacted via phone (630) 901-2879, or through Johnson, Tajuana D. via phone (630) 901-2879.

Contact Information

Primary practice address
1528 W Monroe St Ste 100 Chicago IL 60607-2460
Phone: (630) 901-2879
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tajuana D. Family Nurse Practitioner (FNP)
Phone: (630) 901-2879

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 209008594 Illinois
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X 209008594 Illinois

Profile Details

NPI number 1205345337
LBN Legal business name Glow Health And Wellness Medical Spa, Pc
DBA Doing business as
Authorized official Johnson, Tajuana D. Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2017
Last updated Sep 20th, 2017 - about 7 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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