Organization
AZUL HOLISTIC SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA SILVIA ROMERO (OWNER)
(312) 455-2985
Entity
Organization
Contact information
Practice address
842 W ADAMS ST, CHICAGO, IL 60607-3698
(312) 455-2985
Mailing address
842 W ADAMS ST, CHICAGO, IL 60607-3698
(312) 455-2985
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
227.010506
IL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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