Best Medspa LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BEST MEDSPA LLC

Practice address

426 Kevin Way
Matteson, IL 60443-1182

Phone

(773) 216-3223

NPI assigned

Feb 18, 2022

Last updated

Mar 24, 2022By 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

Tawakalit Alao, MSN, APRN, NP-C

Title

Manager

Phone

(773) 216-3223

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Best MedSpa LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1851046601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 KEVIN WAY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431182",
            "telephone_number": "773-216-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 KEVIN WAY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431182",
            "telephone_number": "773-216-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "TAWAKALIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-216-3223",
        "authorized_official_credential": "MSN, APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING SERVICES",
            "identifier": "1003404518",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780272294",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POINT OF CARE",
            "identifier": "1356096929",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Matteson",
            "affiliation": "N",
            "endpointDescription": "Matteson",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Matteson",
            "address_1": "426 Kevin Way",
            "city": "Matteson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604431182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Best MedSpa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.