Paradise Point Spa

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PARADISE POINT SPA

Practice address

3207 Lake Ave Ste 13
Wilmette, IL 60091-1082

Phone

(224) 338-9999

NPI assigned

Mar 15, 2019

Last updated

Mar 15, 2019By 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

Mrs. Yajuan Liu

Title

Owner

Phone

(312) 961-9998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1790244150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 LAKE AVE STE 13",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911082",
            "telephone_number": "224-338-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 LAKE AVE STE 13",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911082",
            "telephone_number": "224-338-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE POINT SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YAJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-961-9998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Wilmette, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.