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Organization

MOON CYCLE MAMA DOULA AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERRI HONEYWOOD (COO)
(773) 642-4707
Entity
Organization

Contact information

Practice address
3838 W 111TH ST, CHICAGO, IL 60655-4095
(773) 234-2260
Mailing address
1 E ERIE ST STE 525, CHICAGO, IL 60611-2980
(773) 234-2260

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/27/2025
Last updated
01/13/2026
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