Healthcare Provider Details

I. General information

NPI: 1508193731
Provider Name (Legal Business Name): HARMONY RESTORED INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2009
Last Update Date: 11/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N. ORLEANS SUITE 209
CHICAGO IL
60610
US

IV. Provider business mailing address

414 N. ORLEANS SUITE 209
CHICAGO IL
60610
US

V. Phone/Fax

Practice location:
  • Phone: 773-671-5993
  • Fax: 312-828-0069
Mailing address:
  • Phone: 773-671-5993
  • Fax: 312-828-0069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. RUHAMAH JUDITH TAYLOR
Title or Position: CEO
Credential:
Phone: 773-671-5993