Provider Demographics
NPI:1083187363
Name:ULEZI LLC
Entity type:Organization
Organization Name:ULEZI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:NASIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CIRINCIONE-ULEZI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, BCBA
Authorized Official - Phone:630-400-1356
Mailing Address - Street 1:162 CHRISTINE WAY
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-6137
Mailing Address - Country:US
Mailing Address - Phone:630-400-1356
Mailing Address - Fax:630-378-5188
Practice Address - Street 1:162 CHRISTINE WAY
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-6137
Practice Address - Country:US
Practice Address - Phone:630-400-1356
Practice Address - Fax:630-378-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health