| Organization Name: | PRINCE&PRINCESS |
| NPI Number: | 1386035889 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NIMAT NIKE AKOREDE (OWNER) |
| Mailing Address: | 3630 214th Pl Matteson |
| State: | IL US |
| Postal Code: | 604432704 |
| Phone Number: | 7083741159 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2015 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QI0500X |
| License Number: | 041402048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |