Images Med Spa Old Orchard LLC

NPI #1598122566 in Wilmette, Illinois

Provider Information

NPI Number: 1598122566
Entity Type: Organization
Organization Name: Images Med Spa Old Orchard LLC
Primary Specialty: Specialist
Enumeration Date: Jan 21, 2016
Last Updated: Jan 21, 2016

Practice Location

Address: 505 SKOKIE BLVD
City: Wilmette
State: Illinois
ZIP Code: 60091-2131
Phone: (847) 853-1100

Authorized Official

Name: JEFF GLAZER
Title: OWNER
Phone: (847) 530-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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