Provider Demographics
NPI:1225745847
Name:HEALTHY CONSTELLATIONS
Entity Type:Organization
Organization Name:HEALTHY CONSTELLATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRANK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:773-245-2089
Mailing Address - Street 1:301 CHIPILI DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4806
Mailing Address - Country:US
Mailing Address - Phone:786-597-0853
Mailing Address - Fax:
Practice Address - Street 1:666 DUNDEE RD STE 1201
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2736
Practice Address - Country:US
Practice Address - Phone:773-245-3089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty