Med Spa of Mt Greenwood PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MED SPA OF MT GREENWOOD PLLC

Doing business as

LYRA MED SPA INC

Practice address

10301 S Kedzie Ave Unit a
Chicago, IL 60655-2015

Phone

(708) 374-0118

NPI assigned

Sep 9, 2026

Organization subpart

No

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

Authorized official

Name

Khader Zahdan, DO

Title

Manager

Phone

(708) 374-0118

Specialties & licenses 3

Addresses

Other names 1

• LYRA MED SPA INC Doing business as

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": "1548170913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 S KEDZIE AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552015",
            "telephone_number": "708-374-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 S KEDZIE AVE UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552015",
            "telephone_number": "708-374-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SPA OF MT GREENWOOD 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": "ZAHDAN",
        "authorized_official_first_name": "KHADER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-374-0118",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYRA MED SPA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• 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.