Corpo Bello Full Service Day Spa

Primary specialty

SpecialistTaxonomy code 174400000X

License

011.259084 Issued in IL

Legal business name

CORPO BELLO FULL SERVICE DAY SPA

Practice address

1703 W Candletree Dr
Suite B
Peoria, IL 61614-1591

Phone

(309) 692-3400

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jenny Lynn Bohannan-Biggs

Title

Co-Owner

Phone

(309) 692-3400

Specialties & licenses 1

Addresses

Tax ID family

Corpo Bello Full Service Day Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Corpo Bello II, LLC

  • Reflexologist
  • Peoria, IL
  • NPI 1861825234
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Allan Aarestad Jr., DC, B.S., MMP

  • Chiropractor
  • Plainfield, IL
  • NPI 1871939165
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1326482076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 W CANDLETREE DR",
            "address_2": "SUITE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141591",
            "telephone_number": "309-692-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W CANDLETREE DR",
            "address_2": "SUITE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141591",
            "telephone_number": "309-692-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPO BELLO FULL SERVICE DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BOHANNAN-BIGGS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "309-692-3400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "011.259084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Mary Cornell, APN
• Jacinda Anne Cornick, PA
• Blake Loran Cornwell, PHARMD
• Delaney Corona Martinez
• Emily Ann Corona
• Corpo Bello II, LLC
• Keith Thomas Corpus, MD
• Crystal Corzatt, PT
• Jillian Marie Costello, DO
• Aaron Costerisan, M.D.

• Specialist in Peoria, IL
• Providers in Peoria, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.