| Mperfect Med Spa Llc | |
|
10448 S Pulaski Rd Ste 1 Oak Lawn IL 60453-4895 | |
| (708) 629-6608 | |
| Not Available |
| Full Name | Mperfect Med Spa Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10448 S Pulaski Rd Ste 1, Oak Lawn, Illinois |
| Authorized Official Name and Position | Iesha Coleman-nwagwu (NURSE PRACTITIONER) |
| Authorized Official Contact | 7734846042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mperfect Med Spa Llc 10953 S Homewood Ave Chicago IL 60643-3437 Ph: (773) 484-6042 | Mperfect Med Spa Llc 10448 S Pulaski Rd Ste 1 Oak Lawn IL 60453-4895 Ph: (708) 629-6608 |
| NPI Number | 1063002814 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Medicare PECOS PAC ID | 0547654592 |
|---|---|
| Medicare Enrollment ID | O20220308001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063002814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Iesha Coleman-nwagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477094092 PECOS PAC ID: 2567739030 Enrollment ID: I20170605001641 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |