OrganizationActive
In Aaw Hair & Beauty Emporium
NPI 1366030165 · Customized Equipment (DME) · Bloomington, IL
Provider details
- NPI number
- 1366030165
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Akilah Williams, Owner(779) 456-5667
Specialties & taxonomies
Suppliers
Practice location
1911 Tracy Dr Apt 3a
Bloomington, IL 61704-7350
Phone: (309) 530-9415
Approximate (ZIP-level) locationGet directions
Mailing address
1911 Tracy Dr Apt 3a
Bloomington, IL 61704-7350
Registry dates
- Enumerated
- 2021-01-06
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.