RUBY BOTELLO (NPI# 1558773077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558773077 |
| Entity Type | Individual |
| Full Name | RUBY BOTELLO |
| Credential | LMT |
| Practice Address |
118 N Clinton St Suite 102 Chicago IL 60661-2386 |
| Practice Telephone | 3128181901 |
| Practice Fax Number | 3124884628 |
| Mailing Telephone | 3128181901 |
| Mailing Fax Number | 3124884628 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227009901 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
118 N CLINTON ST SUITE 102 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770538878 | Clarence W. Brown IIi | Chiropractor | 118 N Clinton St, Suite 103, Chicago, IL 60661-2386 | 2006-05-24 |
| 1669848230 | Takacat LLC | Acupuncturist | 118 N Clinton St, Ste 100-14, Chicago, IL 60661-2386 | 2015-08-18 |
| 1003223157 | Enliven Wellness Center LLC | Massage Therapist | 118 N Clinton St, Suite 102, Chicago, IL 60661-2386 | 2014-07-21 |
| 1013249150 | Takako Takayanagi | Registered Nurse | 118 N Clinton St, Suite 100-14, Chicago, IL 60661-2386 | 2010-01-29 |
| 1467620716 | Kevin J. Regan, D.c,p.c. | Chiropractor | 118 N Clinton St, Chicago, IL 60661-2386 | 2008-02-20 |
| 1487832069 | Emily Mary Hoag | Psychiatry & Neurology | 118 N Clinton St, 16, Chicago, IL 60661-2386 | 2008-02-05 |
| 1770635674 | Kevin J Regan | Chiropractor | 118 N Clinton St, Ste # 103, Chicago, IL 60661-2386 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 1063028553 | Jerica N Mayo | Massage Therapist | 9430 S Loomis St # 9, Chicago, IL 60620-3615 | 2020-09-20 |
| 1770199622 | Anthony Richard Nichols | Massage Therapist | 4437 N Lowell Ave Unit 2, Chicago, IL 60630-4103 | 2020-09-16 |
| 1225643471 | Molly K Crino | Massage Therapist | 2024 S Allport St Apt 1m, Chicago, IL 60608-3870 | 2020-09-14 |
| 1215542642 | Leslie Morrison | Massage Therapist | 2010 S Wabash Ave Apt 3f, Chicago, IL 60616-1779 | 2020-09-11 |
| 1255946091 | Justin C Deschamps | Massage Therapist | 3244 W Carroll Ave # 1, Chicago, IL 60624-2030 | 2020-09-09 |
| 1275147142 | Kennisha C Simmons | Massage Therapist | 7447 S South Shore Dr Apt 31d, Chicago, IL 60649-3871 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.