Organization Active NPI

Thrive Wellness and Aesthetics, Professional Corporation

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1013876135
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THRIVE WELLNESS AND AESTHETICS, PROFESSIONAL CORPORATION
Practice address
1536 W Chicago Ave
Chicago, IL 60642-5236
Phone
(464) 444-5111
Fax
(312) 910-5059
NPI assigned
Jan 16, 2026
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krystle Miles, MDNPI 1407219124
Title
President
Phone
(464) 444-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1536 W Chicago Ave
Chicago, IL 60642-5236

Mailing address

1536 W Chicago Ave
Chicago, IL 60642-5236
Phone (464) 444-5111

National Provider Directory

National Provider Directory

Locations

1536 W Chicago Ave
Chicago, IL 60642
Phone (464) 444-5111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1013876135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "464-444-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "464-444-5111",
            "fax_number": "312-910-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WELLNESS AND AESTHETICS, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "464-444-5111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.