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SUPREME WELLNESS AESTHETICS & RECOVERY INC
NPI 1275105967
Emergency Medicine in Park Ridge, IL

Active since July 13, 2021
678 N NORTHWEST HWY STE C, PARK RIDGE, IL 60068(847) 653-6191 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2021, Jul 13, 2021 (2 updates tracked since 2021).

About Supreme Wellness Aesthetics & Recovery Inc NPPES

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

SUPREME WELLNESS AESTHETICS & RECOVERY INC (NPI 1275105967) is a healthcare organization registered as an emergency medicine in Park Ridge, Illinois and active in the NPI registry since July 2021. The organization lists Dominika Pavone, Owner, as its authorized official.

NPPES Registry Identity

NPI1275105967
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSUPREME WELLNESS AESTHETICS & RECOVERY INC
Location Address678 N NORTHWEST HWY STE CPark Ridge, IL 60068-2540
Mailing Address678 N Northwest Hwy Ste CPark Ridge, IL 60068-2540 · (847) 653-6191
Phone(847) 653-6191
Organization SubpartNo
Authorized OfficialDominika PavoneOwner · (630) 635-6633
Enumeration DateJuly 13, 2021
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1275105967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
678 N NORTHWEST HWY STE C, Park Ridge, IL 60068
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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 SINGLE SPECIALTY GROUP

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 Supreme Wellness Aesthetics & Recovery Inc's NPI number?

The NPI number for Supreme Wellness Aesthetics & Recovery Inc is 1275105967. It was assigned to this organization in the NPPES registry on July 13, 2021.

Where is Supreme Wellness Aesthetics & Recovery Inc located?

Supreme Wellness Aesthetics & Recovery Inc is located at 678 N Northwest Hwy Ste C, Park Ridge, IL 60068. The listed phone number is (847) 653-6191.

What is Supreme Wellness Aesthetics & Recovery Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Supreme Wellness Aesthetics & Recovery Inc was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.