| NPI | 1770399586 |
|---|---|
| Former Legal Business Name | BLOOMING BELLIES BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | SONNET PACHECO Sonographer 773-573-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |