Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Medspa PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1538909544

Innovative Medspa PLLC is a Physical Medicine & Rehabilitation Physician in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2418 N Ashland Ave
Chicago, IL 60614-2021
Phone: (773) 900-8330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1538909544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Bohmer — Coo · (773) 562-0110
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address2418 N Ashland Ave, Chicago, IL 60614-2021

Other providers in Chicago