MEDICARE: MAMMA JAMMA DANCE & MATERNAL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1659219475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAMMA JAMMA DANCE & MATERNAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	3543 S HAMILTON AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1194
Country	:	US
Telephone Number	:	312-487-1957
Fax Number	:

Provider Business Practice Location Address
First Line	:	3543 S HAMILTON AVE APT 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1194
Country	:	US
Telephone Number	:	312-487-1957
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	MRS. ALITRA CARTMAN
Credential	:
Telephone Number	:	312-487-1957

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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