BLEU LOTUS 360 LLC

BOURBONNAIS, IL
NPI1447988803
Entity TypeOrganization
Authorized ContactMACHADA ALLAYNA CURETON
RN
773-739-6024
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
BLEU LOTUS 360 LLC
1600 N STATE ROUTE 50 STE 726
BOURBONNAIS, IL 60914-9314
Phone number: 815-585-6669
Mailing Address
BLEU LOTUS 360 LLC
122 S MICHIGAN AVE STE 1390
CHICAGO, IL 60603-6036
Phone number: 773-739-6024