Organization Active NPI

Gold Body Medspa PLLC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1407766876
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GOLD BODY MEDSPA PLLC
Practice address
1860 S Blue Island Ave Ste 204
Chicago, IL 60608-6148
Phone
(773) 340-2315
NPI assigned
Sep 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Regina Munoz
Title
Owner
Phone
(773) 340-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1860 S Blue Island Ave Ste 204
Chicago, IL 60608-6148

Mailing address

5206 132ND CT
Crestwood, IL 60418-4443
Phone (773) 340-2315

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1407766876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 132ND CT",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604184443",
            "telephone_number": "773-340-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S BLUE ISLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086148",
            "telephone_number": "773-340-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD BODY MEDSPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-340-2315"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.