Iglow Aesthetics and Med Sp
Nurse Practitioner (Family)

Address: 2600 S Michigan Ave Ste Lld, Chicago, IL 60616
Phone: 3128664642

Iglow Aesthetics and Med Sp (NPI# 1477266682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1477266682
Entity Type Organization
Organization Name IGLOW AESTHETICS AND MED SP
Practice Address 2600 S Michigan Ave Ste Lld
Chicago
IL 60616
Practice Telephone 3128664642
Mailing Address 2600 S Michigan Ave Ste Lld
Chicago
IL 60616
Mailing Telephone 3128664642
Authorized Official Name Ms. Shammona Clark (OWNER)
Authorized Official Telephone 5742983090
Authorized Official Credential NP
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2023-01-03
Last Update Date 2023-01-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790499580 Dhollie Lyn Dayao Quiamco 5140 N California Ave, Chicago, IL 60625-3645 2023-01-06
1003520891 Josie Smith 1455 N Milwaukee Ave Fl 2, Chicago, IL 60622-2015 2023-01-06
1609588573 Elmer Bernardino 6420 N California Ave Uppr 5, Chicago, IL 60645-5276 2022-12-22
1861104846 Suzanne Gabbidon 2003 W Fulton St # 303, Chicago, IL 60612-2345 2022-12-21
1790497717 Hayley Joy Fansler 753 W Brompton Ave Apt 1s, Chicago, IL 60657-1845 2022-12-21
1336851997 Tamisha Antonia Novak 5758 S Maryland Ave Suite 5a, Chicago, IL 60637 2022-12-14
1215648514 Megan Erika Wilson 3301 N Ashland Ave, Chicago, IL 60657-2127 2022-12-07
1336859131 Philomena Okonkwo 1740 W Taylor St, Chicago, IL 60612-7232 2022-12-02
1699485631 Alexis Adamsick 251 E Huron St, Chicago, IL 60611-3055 2022-11-30
1740990175 Tabitha Duncan 1740 W Taylor St, Chicago, IL 60612-7232 2022-11-28
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Office Location

Street Address 2600 S MICHIGAN AVE STE LLD
City CHICAGO
State IL
Zip Code 60616

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750094942 Alliance Care 360 Wellness 2929 S Wabash Ave Ste 202, Chicago, IL 60616-3243 2023-01-03
1851004204 Mara Yadith Carreto 2248 S Michigan Ave, Chicago, IL 60616-5258 2022-12-30
1871206482 Open Your Arms Home Care LLC 545 W 31st St, Chicago, IL 60616 2022-12-28
1902518467 Haneefat Amin 2030 S State St Apt 1704, Chicago, IL 60616-1555 2022-12-15
1083325070 Globe Counseling LLC 221 E Cullerton St Apt 501, Chicago, IL 60616-1460 2022-12-09
1730890187 Hosps Corp 653 W 28th St Apt 1, Chicago, IL 60616-2905 2022-12-07
1649980947 Chinese American Service League, Inc. 2141 S Tan Ct, Chicago, IL 60616-1998 2022-11-29
1538878558 Cheyenne Lasean Dyer 2600 S Michigan Ave Ste 104, Chicago, IL 60616-2857 2022-11-17
1790493229 Brittany Goodwin 2600 S Michigan Ave Ste 104, Chicago, IL 60616-2857 2022-11-14
1164130886 Soulective Pelvic Health and Wellness Pllc 1620 S Michigan Ave Unit 705, Chicago, IL 60616-4691 2022-11-10
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Competitor

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City CHICAGO
Zip Code 60616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.