Organization Active NPI

Sounthwest Medspa LLC

Doing business as Southwest MedSpa & Wellness PLLC

  • Family Nurse Practitioner
  • Inverness, IL
National Provider Identifier
1982586970
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOUNTHWEST MEDSPA LLC
Doing business as
Southwest MedSpa & Wellness PLLC
Southwest MedSpa and Wellness
Practice address
1606 W Colonial Pkwy
Inverness, IL 60067-4738
Phone
(630) 449-4794
Fax
(630) 566-4869
NPI assigned
Jul 22, 2025
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Marife Starkey Abistado, FNP-C
Title
Ceo
Phone
(630) 449-4794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1606 W Colonial Pkwy
Inverness, IL 60067-4738

Mailing address

9234 Harlowe LN
Orland Park, IL 60462-1057
Phone (630) 449-4794

Other names 2

  • Southwest MedSpa & Wellness PLLC Doing business as
  • Southwest MedSpa and Wellness 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": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1982586970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9234 HARLOWE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621057",
            "telephone_number": "630-449-4794",
            "fax_number": "630-566-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 W COLONIAL PKWY",
            "city": "INVERNESS",
            "state": "IL",
            "postal_code": "600674738",
            "telephone_number": "630-449-4794",
            "fax_number": "630-566-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUNTHWEST MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "ABISTADO",
        "authorized_official_first_name": "MARIFE",
        "authorized_official_middle_name": "STARKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-449-4794",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest MedSpa & Wellness PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest MedSpa and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inverness, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.