Provider Demographics
NPI:1720880909
Name:OOMS SELF-SUFFICIENCIES AS NEUROVIBE.US
Entity type:Organization
Organization Name:OOMS SELF-SUFFICIENCIES AS NEUROVIBE.US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:OOMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-697-8744
Mailing Address - Street 1:6218 PERSHING AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-1721
Mailing Address - Country:US
Mailing Address - Phone:630-697-8744
Mailing Address - Fax:
Practice Address - Street 1:6220 PERSHING AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-1721
Practice Address - Country:US
Practice Address - Phone:630-697-8744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OOMS SELF-SUFFICIENCIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty