Provider Demographics
NPI:1831464056
Name:HARMONIOUS VIBRATIONS, INC.
Entity Type:Organization
Organization Name:HARMONIOUS VIBRATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM, DAOMC
Authorized Official - Phone:773-416-5877
Mailing Address - Street 1:11425 S ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-4431
Mailing Address - Country:US
Mailing Address - Phone:773-416-5877
Mailing Address - Fax:773-239-0378
Practice Address - Street 1:11113 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-3907
Practice Address - Country:US
Practice Address - Phone:773-416-5877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000074171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty