Provider Demographics
NPI:1275002008
Name:INDUCTOR OF HEALING,INC.
Entity Type:Organization
Organization Name:INDUCTOR OF HEALING,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MALIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-373-9451
Mailing Address - Street 1:6955 NORTH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1016
Mailing Address - Country:US
Mailing Address - Phone:708-613-5255
Mailing Address - Fax:773-345-4629
Practice Address - Street 1:6955 NORTH AVE STE 102
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1016
Practice Address - Country:US
Practice Address - Phone:708-613-5255
Practice Address - Fax:773-345-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-22
Last Update Date:2018-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty