BSMC-Aom Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227004153 Issued in IL

Legal business name

BSMC-AOM INC

Doing business as

BIO S MIND CENTER

Practice address

1101 Lake St
210
Oak Park, IL 60301-1046

Phone

(708) 848-1277

Fax

(708) 848-8234

NPI assigned

Feb 23, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Warwick, LMT,DD

Title

President

Phone

(708) 848-1277

Specialties & licenses 3

Addresses

Other names 1

• BIO S MIND CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1063871747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST",
            "address_2": "210",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011046",
            "telephone_number": "708-848-1277",
            "fax_number": "708-848-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST",
            "address_2": "210",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011046",
            "telephone_number": "708-848-1277",
            "fax_number": "708-848-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSMC-AOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "WARWICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-848-1277",
        "authorized_official_credential": "LMT,DD"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227004153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIO S MIND CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamyla Rose Bryant
• Shani Bryant
• Stephen William Bryant, MACP, MAFP, LPC
• Bryn Poulton Clinical Services, PLLC
• Loraine A. Brzozowski, ACNP-BC
• Morgan Buck, MA, BCBA
• Gina Buckley
• Lisa Buckley, LCSW
• Salena Budinger
• Johnathon Austin Buen-Gharib, DMD

• Massage Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.