Element Med Spa, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ELEMENT MED SPA, LLC

Practice address

990 S Waukegan Rd Ste 200
Lake Forest, IL 60045-2655

Phone

(847) 234-0555

Fax

(847) 234-0355

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alan Freint, MDNPI 1174501514

Title

President/Owner

Phone

(847) 987-4555

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alan Freint Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Freint, M.D.

  • Otolaryngology Physician
  • Lake Forest, IL
  • NPI 1174501514
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1699246736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S WAUKEGAN RD STE 200",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452655",
            "telephone_number": "847-234-0555",
            "fax_number": "847-234-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S WAUKEGAN RD STE 200",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452655",
            "telephone_number": "847-234-0555",
            "fax_number": "847-234-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT MED SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "FREINT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-987-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Alan Freint",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Robert T Durrett, DDS
• Landon Jess Duyka, M.D.
• Ec Physician and Wound Specialist LLC
• Nancy D Ehrhardt, RPH
• Kristin Rae Elinski, PA-C
• Madeline Ellis, DNP, AG-ACNP-BC
• Rizamarie E Empeno, MD
• Envision Eye Center LTD
• Envision Health Clinic

• Otolaryngology Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.