IGLOW AESTHETICS AND MED SP
NPI 1477266682
Nurse Practitioner - Family in Chicago, IL

Q: What is Iglow Aesthetics And Med Sp's NPI number?

The NPI number for Iglow Aesthetics And Med Sp is 1477266682. It was assigned to this organization in the NPPES registry on January 3, 2023.

Q: What is Iglow Aesthetics And Med Sp's specialty?

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

Active since January 03, 2023

2600 S MICHIGAN AVE STE LLD, CHICAGO, IL 60616(312) 866-4642 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Iglow Aesthetics And Med Sp NPPES

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

IGLOW AESTHETICS AND MED SP (NPI 1477266682) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since January 2023. The organization lists Shammona Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1477266682

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameIGLOW AESTHETICS AND MED SP

Location Address2600 S MICHIGAN AVE STE LLDChicago, IL 60616

Mailing Address2600 S Michigan Ave Ste LldChicago, IL 60616 · (312) 866-4642

Phone(312) 866-4642

Organization SubpartNo

Authorized OfficialShammona ClarkOwner · (574) 298-3090

Enumeration DateJanuary 3, 2023

NPPES CertifiedJanuary 1, 2023

✔ NPI 1477266682 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

2600 S MICHIGAN AVE STE LLD, Chicago, IL 60616

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Other Identifiers 1

Other277001127IL · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Iglow Aesthetics And Med Sp's NPI number?

The NPI number for Iglow Aesthetics And Med Sp is 1477266682. It was assigned to this organization in the NPPES registry on January 3, 2023.

Where is Iglow Aesthetics And Med Sp located?

Iglow Aesthetics And Med Sp is located at 2600 S Michigan Ave Ste Lld, Chicago, IL 60616. The listed phone number is (312) 866-4642.

What is Iglow Aesthetics And Med Sp's specialty?

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

When was this NPI record last updated?

The NPPES record for Iglow Aesthetics And Med Sp was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.