Organization
BLEU LOTUS 360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MACHADA ALLAYNA CURETON MACHADA CURETON (RN)
(773) 739-6024
Entity
Organization
Contact information
Practice address
1600 N STATE ROUTE 50 STE 726, BOURBONNAIS, IL 60914-9314
(815) 585-6669
Mailing address
122 S MICHIGAN AVE STE 1390, CHICAGO, IL 60603-6036
(773) 739-6024
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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