Charming Skin Vein Center LLC
Internal Medicine in Chicago, IL. Organization (NPI-2).
NPI number1497479331
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1497479331
- Entity type
- Organization (NPI-2)
- Legal business name
- Charming Skin Vein Center LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- None (Other Name)
- Charming Skin Vein Center LLC (Other Name)
Practice location
5907 W 63rd StChicago, IL 60638-5409
Phone 708-966-4820 · Fax 888-460-3322
Mailing address
5907 W 63rd StChicago, IL 60638-5409
Phone 708-966-4820 · Fax 888-460-3322
Other practice locations
2425 W 22nd St Ste 205
Oak Brook, IL 60523-4650
Oak Brook, IL 60523-4650
Phone 630-974-1400 · Fax 888-466-3320
Authorized official
Jawdat Abboud
Medical Director
7089664820
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