Awaken Blossom Foundation

LBN: Awaken Blossom Foundation
Awaken Blossom Foundation is an health care organization with primary practice located at 6142 Roosevelt Rd # 101 , Oak Park IL 60304-2311. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Specialist. Other Service Providers / Acupuncturist is the primary health care specialty. Awaken Blossom Foundation can be contacted via phone (708) 613-5690, or through Abonce, Mildred via phone (708) 613-5690.

Contact Information

Primary practice address
6142 Roosevelt Rd # 101 Oak Park IL 60304-2311
Phone: (708) 613-5690
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abonce, Mildred LMT
Phone: (708) 613-5690

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198000100 Illinois
Other Service Providers / Specialist 174400000X 227007446 Illinois
Other Service Providers / Specialist 174400000X 227004827 Illinois

Profile Details

NPI number 1659778421
LBN Legal business name Awaken Blossom Foundation
DBA Doing business as
Authorized official Abonce, Mildred LMT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2014
Last updated Nov 22nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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