Best Medspa LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BEST MEDSPA LLC

Practice address

426 Kevin Way
Matteson, IL 60443-1182

Phone

(773) 216-3223

NPI assigned

Feb 13, 2022

Organization subpart

No

Name

Tawakalit Alao, MSN, APRN, FNP-CNPI 1780272294

Title

Administrator

Phone

(773) 216-3223

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawakalit F Alao

  • Family Nurse Practitioner
  • New Lenox, IL
  • NPI 1780272294
  NPD Authorized official

• Best MedSpa LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2022.

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1356096929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 KEVIN WAY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431182",
            "telephone_number": "773-216-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 KEVIN WAY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431182",
            "telephone_number": "773-216-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "TAWAKALIT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-216-3223",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003404518",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780272294",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Matteson",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Matteson",
            "address_1": "426 Kevin Way",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604431182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Best MedSpa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katherine Levette Beale
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• Dwayne Belle Jr.
• Annette Bennett
• Best Medspa LLC
• Cristina Noel Betances, LCSW
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• Darren Bingham
• Latoya A Bingham, M.S.W., L.C.S.W.

• All providers in Matteson, IL
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.