| Bleu Lotus 360 Llc | |
|
1600 N State Route 50 Ste 726 Bourbonnais IL 60914-9314 | |
| (815) 585-6669 | |
| Not Available |
| Full Name | Bleu Lotus 360 Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 N State Route 50 Ste 726, Bourbonnais, Illinois |
| Authorized Official Name and Position | Machada Allayna Cureton (RN) |
| Authorized Official Contact | 7737396024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bleu Lotus 360 Llc 122 S Michigan Ave Ste 1390 Chicago IL 60603-6036 Ph: (773) 739-6024 | Bleu Lotus 360 Llc 1600 N State Route 50 Ste 726 Bourbonnais IL 60914-9314 Ph: (815) 585-6669 |
| NPI Number | 1447988803 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447988803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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