1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Family Medicine
  6. NPI Profile

DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC
NPI 1689007403
Family Medicine in Chicago, IL

Active since August 15, 2013
6810 S PAXTON AVE, CHICAGO, IL 60649(866) 834-8463 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Aesthetics Medspa & Wellness Center Inc NPPES

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

DIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC (NPI 1689007403) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since August 2013. The organization lists Shanicka Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1689007403
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIVINE AESTHETICS MEDSPA & WELLNESS CENTER INC
Location Address6810 S PAXTON AVEChicago, IL 60649-1603
Mailing Address6810 S Paxton AveChicago, IL 60649-1603 · (866) 834-8463
Phone(866) 834-8463
Organization SubpartNo
Authorized OfficialShanicka WilliamsOwner · (855) 276-5212
Enumeration DateAugust 15, 2013
Last NPPES UpdateOctober 28, 2013
✔ NPI 1689007403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.128645
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6810 S PAXTON AVE, Chicago, IL 60649
Open in Google Maps ↗

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 Divine Aesthetics Medspa & Wellness Center Inc's NPI number?

The NPI number for Divine Aesthetics Medspa & Wellness Center Inc is 1689007403. It was assigned to this organization in the NPPES registry on August 15, 2013.

Where is Divine Aesthetics Medspa & Wellness Center Inc located?

Divine Aesthetics Medspa & Wellness Center Inc is located at 6810 S Paxton Ave, Chicago, IL 60649. The listed phone number is (866) 834-8463.

What is Divine Aesthetics Medspa & Wellness Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Divine Aesthetics Medspa & Wellness Center Inc was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.