Malike Ayouba, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227018161 Issued in IL

Practice address

1019 Madison St
Oak Park, IL 60302-4404

Phone

(773) 373-9451

Fax

(773) 345-4629

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inductor of Healing,Inc.

  • Massage Therapist
  • Oak Park, IL
  • NPI 1275002008
  NPD Authorized official

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1760844260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 S JEFFERY BLVD",
            "address_2": "1B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491082",
            "telephone_number": "773-664-6867",
            "fax_number": "773-345-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024404",
            "telephone_number": "773-373-9451",
            "fax_number": "773-345-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUBA",
        "first_name": "MALIKE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "IL",
            "license": "227018161",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227018161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awaken Blossom Foundation
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• Doris N Ayala, LCSW MW
• Amba Ayloo, M.D.
• Asfiya T Azizuddin, MD
• Azzizawear International
• B. Safe Transportation LLC
• Rebecca Olynda Baake, LCSW
• Ruth Sharel Babcock, LCSW

• Massage Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.