Bottles to Soon

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

041380212 Issued in IL

Legal business name

BOTTLES TO SOON

Practice address

9731 S Ingleside Ave
Chicago, IL 60628-1517

Phone

(773) 683-8987

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Mara Denise Wilson

Title

Register Nurse

Phone

(773) 683-8987

Specialties & licenses 1

Addresses

Tax ID family

Bottles to Soon2 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.

• Bottles to Spoons, Inc.

  • Registered Nurse
  • Flossmoor, IL
  • NPI 1376688036
  NPD tax ID

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1407268691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 S INGLESIDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281517",
            "telephone_number": "773-683-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 S INGLESIDE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281517",
            "telephone_number": "773-683-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTTLES TO SOON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "REGISTER NURSE",
        "authorized_official_telephone_number": "773-683-8987"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "IL",
            "license": "041380212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jane Botsios, LCPC
• Karen K Botsoe, MD
• Kristen Botte, RD
• Megan Botterman
• Marina Danielle Bottiglieri, M.A.
• Elizabeth Sierra Bottrell, MPT
• Naji Bou Zeid, MD
• Claudia Cheryl Boucher-Berry, M.D.
• Nicole Boucher, DPT
• Paige Boucher

• Pediatric Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.