Organization Active NPI

Nirvana Beauty and Laser Center Inc

  • Medical Specialty Clinic/Center
  • Lombard, IL
National Provider Identifier
1801579883
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NIRVANA BEAUTY AND LASER CENTER INC
Doing business as
Nirvana Beauty And Laser Center Inc
Practice address
10 W Saint Charles Rd
Lombard, IL 60148-7402
Phone
(708) 448-9300
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Atiyeh Salem, DPMNPI 1477561553
Title
Owner
Phone
(708) 448-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

10 W Saint Charles Rd
Lombard, IL 60148-7402

Mailing address

10 W Saint Charles Rd
Lombard, IL 60148-7402
Phone (708) 448-9300

Other names 1

  • Nirvana Beauty And Laser Center Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1801579883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SAINT CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487402",
            "telephone_number": "708-448-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SAINT CHARLES RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487402",
            "telephone_number": "708-448-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA BEAUTY AND LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "ATIYEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-448-9300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirvana Beauty And Laser Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.