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1689007403
DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC
CHICAGO, IL
NPI
1689007403
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Entity Type
Organization
Authorized Contact
SHANICKA WILLIAMS
Owner
855-276-5212
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.128645)
Enumeration Date
2013-08-15
Last Update Date
2013-10-28
Business Address
DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC
6810 S PAXTON AVE
CHICAGO, IL 60649-1603
Phone number: 866-834-8463
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Mailing Address
DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC
6810 S PAXTON AVE
CHICAGO, IL 60649-1603
Phone number: 866-834-8463
Copy
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