Healthcare Provider Details

I. General information

NPI: 1093652059
Provider Name (Legal Business Name): SKIN AND BODY BAR MEDICAL AND WELLNESS SPA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 KANSAS ST STE 2A
FRANKFORT IL
60423-1348
US

IV. Provider business mailing address

28 KANSAS ST STE 2A
FRANKFORT IL
60423-1348
US

V. Phone/Fax

Practice location:
  • Phone: 815-656-5566
  • Fax:
Mailing address:
  • Phone: 815-656-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MUSTAFA ALADIN
Title or Position: OWNER
Credential:
Phone: 815-931-4292