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1447988803
BLEU LOTUS 360 LLC
BOURBONNAIS, IL
NPI
1447988803
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Entity Type
Organization
Authorized Contact
MACHADA ALLAYNA CURETON
RN
773-739-6024
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-08-12
Last Update Date
2022-08-12
Business Address
BLEU LOTUS 360 LLC
1600 N STATE ROUTE 50 STE 726
BOURBONNAIS, IL 60914-9314
Phone number: 815-585-6669
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Mailing Address
BLEU LOTUS 360 LLC
122 S MICHIGAN AVE STE 1390
CHICAGO, IL 60603-6036
Phone number: 773-739-6024
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