Provider Demographics
NPI:1811682966
Name:CYCLEMY, INC
Entity type:Organization
Organization Name:CYCLEMY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAQUELYN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:773-905-2112
Mailing Address - Street 1:2501 W 103RD ST STE B05
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-1007
Mailing Address - Country:US
Mailing Address - Phone:773-905-2112
Mailing Address - Fax:
Practice Address - Street 1:2501 W 103RD ST STE B05
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-1007
Practice Address - Country:US
Practice Address - Phone:773-905-2112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty