Element Med Spa, LLC

NPI #1699246736 in Lake Forest, Illinois

Provider Information

NPI Number: 1699246736
Entity Type: Organization
Organization Name: Element Med Spa, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 990 S WAUKEGAN RD STE 200
City: Lake Forest
State: Illinois
ZIP Code: 60045-2655
Phone: (847) 234-0555

Authorized Official

Name: DR. ALAN FREINT, MD
Title: PRESIDENT/OWNER
Phone: (847) 987-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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