Liv Medspa LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIV MEDSPA LLC

Practice address

21 Riderwood Rd
North Barrington, IL 60010-6903

Phone

(847) 995-9500

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Ritesh Patel, MD

Title

Ceo

Phone

(847) 995-9500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1710617147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ARMY TRAIL RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601338974",
            "telephone_number": "847-955-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RIDERWOOD RD",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106903",
            "telephone_number": "847-995-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RITESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-995-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kaiz, M.S.
• Debora S. Klein, D.D.S.
• Sharon Marie Klupar, LPTA
• Jeffrey Arthur Koblish, DDS
• Anthony Lis, LCPC
• Tracy Yan Mai, MS, SLP/L
• Menner Chiropractic, LLC
• David J Menner, D.C.
• Sophie V Niemaszyk, LCSW
• Lisa Gail Parks, COTA

• Internal Medicine Physician in North Barrington, IL
• Providers in North Barrington, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.