Organization · Type 2 NPI
Breath of Life Asthma Clinic
Health Service Clinic/Center · East Hazel Crest, IL
NPI number
1174997548
Active
Practice location
17331 Wooded Path Dr
East Hazel Crest, IL 60429-1961
Mailing address
17331 Wooded Path Dr Apt 1S
East Hazel Crest, IL 60429-2620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1174997548
Breath of Life Asthma Clinic's National Provider Identifier is 1174997548, issued on Nov 22, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in East Hazel Crest, IL. The record was last updated on Nov 22, 2015.