Supreme Wellness Aesthetics & Recovery Inc
NPI 1275105967 · Emergency Medicine Physician · Park Ridge, IL
Supreme Wellness Aesthetics & Recovery Inc is a Emergency Medicine Physician organization in Park Ridge, IL (NPI 1275105967).
Provider details
- NPI number
- 1275105967
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominika Pavone, Owner(630) 635-6633
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-13
- Last updated
- 2021-08-05
- Certified
- 2021-08-05
Frequently asked questions
- What is Supreme Wellness Aesthetics & Recovery Inc's NPI number?
- Supreme Wellness Aesthetics & Recovery Inc's National Provider Identifier (NPI) is 1275105967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Wellness Aesthetics & Recovery Inc?
- Supreme Wellness Aesthetics & Recovery Inc is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Supreme Wellness Aesthetics & Recovery Inc located?
- Supreme Wellness Aesthetics & Recovery Inc's practice location on file with NPPES is 678 N Northwest Hwy Ste C, Park Ridge, IL 60068-2540.
- What is Supreme Wellness Aesthetics & Recovery Inc's phone number?
- The practice phone number listed in the NPPES registry for Supreme Wellness Aesthetics & Recovery Inc is (847) 653-6191.
- Who is the authorized official for Supreme Wellness Aesthetics & Recovery Inc?
- The authorized official listed on Supreme Wellness Aesthetics & Recovery Inc's NPPES record is Dominika Pavone, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Wellness Aesthetics & Recovery Inc's NPI active?
- Yes — Supreme Wellness Aesthetics & Recovery Inc's NPI (1275105967) is active in the NPPES registry as of the last update on 2021-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.