Organization · Type 2 NPI
Southwest Aesthetics and Body Sculpture, LLC
Specialist · Shorewood, IL
NPI number
1609017011
Active
Practice location
217 Vertin Blvd
Shorewood, IL 60404-8783
Mailing address
PO Box 11009
Olympia, WA 98508-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1371 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Shorewood
About NPI 1609017011
Southwest Aesthetics and Body Sculpture, LLC's National Provider Identifier is 1609017011, issued on Mar 13, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Shorewood, IL. The record was last updated on Feb 18, 2011.