NPI | 1053121624 |
---|---|
Doing Business As | ELSHARA MEDSPA |
Entity Type | Organization |
Authorized Contact | NEPISTANCE SHOKO Physician 708-977-0777 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 163W00000X Registered Nurse |
207Q00000X Family Medicine | |
207RB0002X Internal Medicine, Bariatric Medicine | |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-01-07 |