Organization · Type 2 NPI
Gold Body Medspa PLLC
Family Nurse Practitioner · Chicago, IL
NPI number
1407766876
Active
Practice location
1860 S Blue Island Ave Ste 204
Chicago, IL 60608-6148
Mailing address
5206 132nd Ct
Crestwood, IL 60418-4443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1407766876
Gold Body Medspa PLLC's National Provider Identifier is 1407766876, issued on Sep 9, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Sep 9, 2026.