Elisa Bella Wellness and Med Spa LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELISA BELLA WELLNESS AND MED SPA LLC

Practice address

11101 S Leamington Ave
Alsip, IL 60803-6026

Phone

(773) 392-3511

NPI assigned

Mar 7, 2026

Last updated

Mar 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlin Reyes, DNP, APRN, FNP-BC

Title

Nurse Practitioner

Phone

(773) 392-3511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772841600000",
    "number": "1780530253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 S LEAMINGTON AVE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608036026",
            "telephone_number": "773-392-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 S LEAMINGTON AVE",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608036026",
            "telephone_number": "773-392-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA BELLA WELLNESS AND MED SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "773-392-3511",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Alsip, IL
• Providers in Alsip, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.