Active NPI
Nirvana Medspa and Laser Center, LTD
- Specialist
- Palos Heights, IL
National Provider Identifier
1447850730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NIRVANA MEDSPA AND LASER CENTER, LTD
- Practice address
- 11801 Southwest Hwy Ste 2N
Palos Heights, IL 60463-1069 - Phone
- (866) 663-3772
- NPI assigned
- Oct 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Atiyeh Salem, DPM
- Title
- Owner
- Phone
- (866) 663-3772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11801 Southwest Hwy Ste 2N
Palos Heights, IL 60463-1069
Mailing address
11801 Southwest Hwy Ste 2N
Palos Heights, IL 60463-1069
Phone (866) 663-3772
Other names 1
- NIRVANA MEDSPA AND LASER CENTER, LTD
National Provider Directory
National Provider DirectoryLocations
11801 Southwest Hwy
Ste 2N
Palos Heights, IL 60463
Phone (708) 361-6118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1447850730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11801 SOUTHWEST HWY STE 2N",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631069",
"telephone_number": "866-663-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 SOUTHWEST HWY STE 2N",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631069",
"telephone_number": "866-663-3772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIRVANA MEDSPA AND LASER CENTER, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-27",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "ATIYEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "866-663-3772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NIRVANA MEDSPA AND LASER CENTER, LTD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.