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Element Med Spa, LLC

Otolaryngology in Lake Forest, IL. Organization (NPI-2).

NPI number1699246736
StatusActive
Last updated in NPPESDec 16, 2018

Details

NPI
1699246736
Entity type
Organization (NPI-2)
Legal business name
Element Med Spa, LLC
Organization subpart
No
Enumeration date
Dec 16, 2018
Last updated
Dec 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology––Yes

Other names

  • Dr. Alan Freint (Other Name)

Practice location

990 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2655

Phone 847-234-0555 · Fax 847-234-0355

Mailing address

990 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2655

Phone 847-234-0555 · Fax 847-234-0355

Authorized official

Alan Freint
President/Owner
8479874555

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