Azul Holistic Spa – Contractor in Chicago, IL

Key facts

NPI: 1346586450
Entity type: Organization (NPI type 2)
Primary specialty: Contractor 171W00000X
License: 227.010506 (IL)
Legal business name: AZUL HOLISTIC SPA
Practice address: 842 W Adams St
Chicago, IL 60607-3698
Phone: (312) 455-2985
NPI assigned: Dec 17, 2012
Organization subpart: No

Authorized official

Name: Ms. Martha Silvia Romero
Title: Owner
Phone: (312) 455-2985

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Contractor Group: 193200000X MULTI-SPECIALTY GROUP	171W00000X	227.010506	IL	Yes

Addresses

Primary practice location

842 W Adams St
Chicago, IL 60607-3698

Mailing address

842 W Adams St
Chicago, IL 60607-3698
Phone (312) 455-2985

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2012.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1346586450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073698",
            "telephone_number": "312-455-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073698",
            "telephone_number": "312-455-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUL HOLISTIC SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "SILVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-455-2985",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "IL",
            "license": "227.010506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

All providers in Chicago, IL · Contractor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.