Azul Holistic Spa
Contractor in Chicago, IL. Organization (NPI-2).
NPI number1346586450
StatusActive
Last updated in NPPESDec 17, 2012
Details
- NPI
- 1346586450
- Entity type
- Organization (NPI-2)
- Legal business name
- Azul Holistic Spa
- Organization subpart
- No
- Enumeration date
- Dec 17, 2012
- Last updated
- Dec 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 227.010506 | IL | Yes |
Practice location
842 W Adams StChicago, IL 60607-3698
Phone 312-455-2985
Mailing address
842 W Adams StChicago, IL 60607-3698
Phone 312-455-2985
Authorized official
Martha Silvia Romero
Owner
3124552985
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