Organization Active NPI

European Med-Beauty Family Clinic, LLC

Doing business as European Med-Beauty Family Clinic

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1205526654
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EUROPEAN MED-BEAUTY FAMILY CLINIC, LLC
Doing business as
European Med-Beauty Family Clinic
Practice address
387 Shuman Blvd Ste 203
Naperville, IL 60563-8450
Phone
(773) 326-5809
NPI assigned
May 9, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Tamara Nosa, FNPNPI 1598423006
Title
Owner
Phone
(773) 326-5809

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

387 Shuman Blvd Ste 203
Naperville, IL 60563-8450

Mailing address

387 Shuman Blvd Ste 203W
Naperville, IL 60563-8644
Phone (773) 326-5809

Other names 1

  • European Med-Beauty Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913001809 IL Part B Supplier - Clinic/Group Practice 2769846401 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2291411European Med-Beauty Family Clinic LLC387 Shuman Blvd - Ste 203W, Naperville, IL 60563Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

387 Shuman Blvd
Ste 203
Naperville, IL 60563
Phone (773) 326-5809

387 Shuman Blvd
Ste 203W
Naperville, IL 60563
Phone (773) 326-5809

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1205526654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 SHUMAN BLVD STE 203W",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638644",
            "telephone_number": "773-326-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 SHUMAN BLVD STE 203",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638450",
            "telephone_number": "773-326-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUROPEAN MED-BEAUTY FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "NOSA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-326-5809",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "European Med-Beauty Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.