Healthcare Provider Details

I. General information

NPI: 1619623881
Provider Name (Legal Business Name): DRAMEDY7 FITNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2022
Last Update Date: 02/26/2022
Certification Date: 02/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 N YORK ST STE 214
ELMHURST IL
60126-2716
US

IV. Provider business mailing address

242 N YORK ST STE 214
ELMHURST IL
60126-2716
US

V. Phone/Fax

Practice location:
  • Phone: 312-771-8591
  • Fax:
Mailing address:
  • Phone: 312-771-8591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ERIN NICOLE THOMASWALKER
Title or Position: OWNER
Credential:
Phone: 312-771-8591