Iglow Aesthetics and Med Sp
NPI 1477266682 · Family Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Iglow Aesthetics and Med Sp is a Family Nurse Practitioner organization in Chicago, IL (NPI 1477266682).
Provider details
- NPI number
- 1477266682
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shammona Clark, Owner(574) 298-3090
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-01-03
- Last updated
- 2023-01-03
- Certified
- 2023-01-01
Frequently asked questions
- What is Iglow Aesthetics and Med Sp's NPI number?
- Iglow Aesthetics and Med Sp's National Provider Identifier (NPI) is 1477266682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iglow Aesthetics and Med Sp?
- Iglow Aesthetics and Med Sp is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Iglow Aesthetics and Med Sp located?
- Iglow Aesthetics and Med Sp's practice location on file with NPPES is 2600 S Michigan Ave Ste Lld, Chicago, IL 60616.
- What is Iglow Aesthetics and Med Sp's phone number?
- The practice phone number listed in the NPPES registry for Iglow Aesthetics and Med Sp is (312) 866-4642.
- Does Iglow Aesthetics and Med Sp accept Medicare?
- Iglow Aesthetics and Med Sp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Iglow Aesthetics and Med Sp?
- The authorized official listed on Iglow Aesthetics and Med Sp's NPPES record is Shammona Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iglow Aesthetics and Med Sp's NPI active?
- Yes — Iglow Aesthetics and Med Sp's NPI (1477266682) is active in the NPPES registry as of the last update on 2023-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.