Organization · Type 2 NPI

Sounthwest Medspa LLC

Family Nurse Practitioner · Inverness, IL

NPI number 1982586970 Active

Practice location

1606 W Colonial Pkwy
Inverness, IL 60067-4738

Call (630) 449-4794 Map

Fax (630) 566-4869

Mailing address

9234 Harlowe Ln
Orland Park, IL 60462-1057

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Advance Wound CareHome Health Agency Inverness, IL NPI 1063309862
The Southwest Medspa & Wellness PLLCFamily Medicine Physician Inverness, IL NPI 1336009950
Vitaheal and Wellness LLCFamily Medicine Physician Inverness, IL NPI 1235021528

NPI record

NPI: 1982586970
Entity type: Organization (Type 2)
Issued: Jul 22, 2025
Last updated: Jul 2, 2026
Status: Active

Other names

Southwest Medspa & Wellness PLLC · doing business as
Southwest Medspa and Wellness · doing business as

Authorized official

Marife Starkey Abistado, FNP-C
CEO
(630) 449-4794

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982586970

Sounthwest Medspa LLC's National Provider Identifier is 1982586970, issued on Jul 22, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Inverness, IL. The record was last updated on Jul 2, 2026.