Crave Cookie Berwyn LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CRAVE COOKIE BERWYN LLC

Practice address

600 W 65TH St Apt 5
Westmont, IL 60559-2856

Phone

(708) 510-4721

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Asim Mohammad Ballout

Title

Ceo

Phone

(708) 510-4721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1174415525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 65TH ST APT 5",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592856",
            "telephone_number": "708-510-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 65TH ST APT 5",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592856",
            "telephone_number": "708-510-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAVE COOKIE BERWYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "BALLOUT",
        "authorized_official_first_name": "ASIM",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-510-4721"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura J Cottrell, LCPC, ATR
• County of Dupage Department of Health
• County of Dupage Department of Health
• County of Dupage Department of Health
• Madelynn Craft
• Jacey Credo, RN
• Jason T Cropsey, APN
• Crossroads Anesthesia LLC
• Corita Nadine Crumpton
• Senora Amanda Curtis

• Non-emergency Medical Transport (VAN) in Westmont, IL
• Providers in Westmont, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.