Provider Demographics
NPI:1962242800
Name:FLOWERS, CYNTHIA M (RN, CHC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:RN, CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 MERCHANDISE MART PLZ STE 1900
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-1421
Mailing Address - Country:US
Mailing Address - Phone:312-256-1179
Mailing Address - Fax:
Practice Address - Street 1:222 MERCHANDISE MART PLZ STE 1900
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-1421
Practice Address - Country:US
Practice Address - Phone:312-256-1179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach