HEALTHCARE, ESTHETIC PROCEDURES
NPI 1033736210
Nurse Practitioner - Family in Orland Park, IL

Active since July 03, 2020CLIA 14D2240406 · Waiver
9021 W 151ST ST, ORLAND PARK, IL 60462(708) 966-4258 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthcare, Esthetic Procedures NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHCARE, ESTHETIC PROCEDURES (NPI 1033736210) is a healthcare organization registered as a family in Orland Park, Illinois and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Chakika L Williams, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1033736210
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSKYROSE REJUVENATION CLINIC & SPA LLC
Location Address9021 W 151ST STOrland Park, IL 60462-3201
Mailing Address22544 Crescent WayRichton Park, IL 60471-1861 · (773) 558-9597
Organization SubpartNo
Authorized OfficialChakika L WilliamsNurse Practitioner/owner · (773) 558-9597
Enumeration DateJuly 3, 2020
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1033736210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
9021 W 151ST ST, Orland Park, IL 60462

Other Names 1

Other NameHealthcare, Esthetic Procedures

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2240406

Skyrose Rejuvenation Clinic & Spa · Orland Park, IL
Active · expires Oct 18, 2027
CLIA Number14D2240406
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorChakika L. Williams
Laboratory Phone(708) 966-4258
Laboratory LocationSkyrose Rejuvenation Clinic & Spa9021 W 151st St, Orland Park, IL 60462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
9021 W 151ST ST
ORLAND PARK, IL 60462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skyrose Rejuvenation Clinic & Spa LLC's NPI number?

The NPI number for Skyrose Rejuvenation Clinic & Spa LLC is 1033736210. It was assigned to this organization in the NPPES registry on July 3, 2020. The provider is also known as Healthcare, Esthetic Procedures.

Where is Skyrose Rejuvenation Clinic & Spa LLC located?

Skyrose Rejuvenation Clinic & Spa LLC is located at 9021 W 151st St, Orland Park, IL 60462. The listed phone number is (708) 966-4258.

What is Skyrose Rejuvenation Clinic & Spa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Skyrose Rejuvenation Clinic & Spa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2240406) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skyrose Rejuvenation Clinic & Spa LLC was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.