Organization Active NPI

Nirvana Medspa and Laser Center, LTD

  • Specialist
  • Palos Heights, IL
National Provider Identifier
1447850730
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Nov 18, 2025

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.