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Organization

BLOOMING BELLIES ULTRASOUND BOUTIQUE LLC

Active
Other names
Blooming Bellies Boutique
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SONNET PACHECO RDMS (SONOGRAPHER)
(773) 573-9578
Entity
Organization

Contact information

Practice address
5851 W IRVING PARK RD, CHICAGO, IL 60634-2609
(312) 560-5585
Mailing address
4043 N MARMORA AVE, CHICAGO, IL 60634-1728

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
12/06/2024
Last updated
12/06/2024
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