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AWAKEN BLOSSOM FOUNDATION NPI 1659778421


NPI Information

NPI: 1659778421
Provider Name: AWAKEN BLOSSOM FOUNDATION
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
6142 ROOSEVELT RD # 101
OAK PARK, IL
ZIP 60304
Phone: (708) 613-5690
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AWAKEN BLOSSOM FOUNDATION is an acupuncturist in Oak Park, IL. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. AWAKEN BLOSSOM FOUNDATION NPI is 1659778421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6142 ROOSEVELT RD # 101
OAK PARK, IL
ZIP 60304-311
Phone: (708) 613-5690

The provider's authorized official is Mildred Abonce .
The authorized official title is Vice-president and has the following contact phone number (708) 613-5690.

The enumeration date for this NPI number is 11/22/2014 and was last updated on 11/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist227007446ILLINOISNo
2174400000XSpecialist227004827ILLINOISNo
3171100000XAcupuncturist198000100ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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