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DR TENORE'S FOUNTAIN OF YOUTH CORP NPI 1306181540


NPI Information

NPI: 1306181540
Provider Name: DR TENORE'S FOUNTAIN OF YOUTH, CORP

Doing Business As: FRESHSKIN

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
806 CENTRAL AVE STE 203
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 681-8821
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DR TENORE'S FOUNTAIN OF YOUTH, CORP is a family medicine in Highland Park, IL. The provider is 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. DR TENORE'S FOUNTAIN OF YOUTH, CORP NPI is 1306181540. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Freshskin.

The provider's business location address is:

806 CENTRAL AVE STE 203
HIGHLAND PARK, IL
ZIP 60035-613
Phone: (847) 681-8821

The provider's authorized official is Josie Tenore .
The authorized official title is Owner and has the following contact phone number (847) 681-8821.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 3/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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