Innovative Medspa PLLC
NPI 1538909544 · Physical Medicine & Rehabilitation Physician · Chicago, IL
Innovative Medspa PLLC is a Physical Medicine & Rehabilitation Physician organization in Chicago, IL (NPI 1538909544).
Provider details
- NPI number
- 1538909544
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brad Bohmer, Coo(773) 562-0110
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
2 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
- 2024-05-28
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Frequently asked questions
- What is Innovative Medspa PLLC's NPI number?
- Innovative Medspa PLLC's National Provider Identifier (NPI) is 1538909544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Medspa PLLC?
- Innovative Medspa PLLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Medspa PLLC located?
- Innovative Medspa PLLC's practice location on file with NPPES is 2418 N Ashland Ave, Chicago, IL 60614-2021.
- What is Innovative Medspa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Medspa PLLC is (773) 900-8330.
- Who is the authorized official for Innovative Medspa PLLC?
- The authorized official listed on Innovative Medspa PLLC's NPPES record is Brad Bohmer, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Medspa PLLC's NPI active?
- Yes — Innovative Medspa PLLC's NPI (1538909544) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.