Supreme Aesthetics

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

SUPREME AESTHETICS

Practice address

6823 Kingery Hwy
Willowbrook, IL 60527-5154

Phone

(847) 204-8650

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Dominika Pavone

Title

Owner

Phone

(847) 204-8650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1508518176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275154",
            "telephone_number": "847-204-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "PAVONE",
        "authorized_official_first_name": "DOMINIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-204-8650"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Styka
• Suburban Medical Inc
• Suburban Psychiatry and Counseling Center LTD.
• Ning Sun, M.D., PHD.
• Superior Vein Finders
• Suriya Sastri, MDPC
• Susan M. Felber, M.D., S.C.
• Uzma Naeem Syed, M.D
• Ellis J Talbert, MD
• Uma Taparia, M.D.

• Emergency Care Clinic/Center in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Emergency Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.