Iglow Aesthetics and Med Sp

NPI #1477266682 in Chicago, Illinois

Provider Information

NPI Number
1477266682
Entity Type
Organization
Organization Name
Iglow Aesthetics and Med Sp
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 3, 2023
Last Updated
Jan 3, 2023

Practice Location

Address
2600 S MICHIGAN AVE STE LLD
ZIP Code
60616
Phone
(312) 866-4642

Authorized Official

Name
MS. SHAMMONA CLARK, NP
Title
OWNER
Phone
(574) 298-3090

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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