Breath of Life Asthma Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BREATH OF LIFE ASTHMA CLINIC

Practice address

17331 Wooded Path Dr
East Hazel Crest, IL 60429-1961

Phone

(312) 709-4898

NPI assigned

Nov 22, 2015

Organization subpart

No

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

Authorized official

Name

Darnell Ingram, C.R.T.T.

Title

C.E.O. / Respiratory Therapist

Phone

(312) 709-4898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1174997548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17331 WOODED PATH DR APT 1S",
            "city": "EAST HAZEL CREST",
            "state": "IL",
            "postal_code": "604292620",
            "telephone_number": "312-709-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17331 WOODED PATH DR",
            "city": "EAST HAZEL CREST",
            "state": "IL",
            "postal_code": "604291961",
            "telephone_number": "312-709-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE ASTHMA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "C.E.O. / RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "312-709-4898",
        "authorized_official_credential": "C.R.T.T."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Bjarnson, CAADC
• India Blakely, LCPC
• Pamela Blalock
• Tanya Blue-Duplessis
• Betty Bowen
• Lisa Bridges, BA
• Robert Brown
• Timothy Brown, BA, CADC
• Derrick Bruce
• Dedra Dea Cannon

• Health Service Clinic/Center in East Hazel Crest, IL
• Providers in East Hazel Crest, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.