NPI | 1699953869 |
---|---|
Doing Business As | MCHENRY MASSAGE CENTER |
Entity Type | Organization |
Authorized Contact | JON R PETERSEN President 815-385-8190 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 227000243) |
Enumeration Date | 2008-02-09 |
Last Update Date | 2008-02-09 |