Demi'S Fitness And Learning Academy Nfp

LBN: Demi'S Fitness And Learning Academy Nfp
Demi'S Fitness And Learning Academy Nfp is an health care organization with primary practice located at 4901 S Drexel Blvd Apt 226 , Chicago IL 60615-2763. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as the primary health care specialty. Demi'S Fitness And Learning Academy Nfp can be contacted via phone (872) 333-1050, or through Burruss, Koko via phone (872) 333-1050.

Contact Information

Primary practice address
4901 S Drexel Blvd Apt 226 Chicago IL 60615-2763
Phone: (872) 333-1050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burruss, Koko DT
Phone: (872) 333-1050

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X KB21490817P Illinois

Profile Details

NPI number 1568980456
LBN Legal business name Demi'S Fitness And Learning Academy Nfp
DBA Doing business as
Authorized official Burruss, Koko DT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2017
Last updated Jun 16th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568980456 NPPES
Illinois MEDICAID 1053831420

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