In Aaw Hair & Beauty Emporium

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

IN AAW HAIR & BEAUTY EMPORIUM

Practice address

1911 Tracy Dr Apt 3a
Bloomington, IL 61704-7350

Phone

(309) 530-9415

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Akilah Williams

Title

Owner

Phone

(779) 456-5667

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1366030165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 TRACY DR APT 3A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047350",
            "telephone_number": "309-530-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 TRACY DR APT 3A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047350",
            "telephone_number": "309-530-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN AAW HAIR & BEAUTY EMPORIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AKILAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "779-456-5667"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.