Active NPI
Sounthwest Medspa LLC
Doing business as Southwest MedSpa & Wellness PLLC
- Family Nurse Practitioner
- Inverness, IL
National Provider Identifier
1982586970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
- Southwest MedSpa and Wellness
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Cicero, IL
- NPI 1770395766
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.