Healthcare Provider Details
I. General information
NPI: 1275300097
Provider Name (Legal Business Name): ROYAL MANAGEMENT SERVICES, LLC - TOP REJUVENATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1205 OAK ST
NORTH AURORA IL
60542-2006
US
IV. Provider business mailing address
1205 OAK ST
NORTH AURORA IL
60542-2006
US
V. Phone/Fax
- Phone: 630-809-9707
- Fax: 630-388-0706
- Phone: 630-809-9707
- Fax: 630-388-0706
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 202D00000X |
| Taxonomy | Integrative Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YUA
CHEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-209-2463