Provider Demographics
NPI:1407258973
Name:CHI BABY INC.
Entity Type:Organization
Organization Name:CHI BABY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:S
Authorized Official - Last Name:REGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, BA
Authorized Official - Phone:630-890-3613
Mailing Address - Street 1:540 SAINT CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-3744
Mailing Address - Country:US
Mailing Address - Phone:630-890-3613
Mailing Address - Fax:
Practice Address - Street 1:540 SAINT CHARLES RD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-3744
Practice Address - Country:US
Practice Address - Phone:630-890-3613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227003954225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty