| NPI | 1871028563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE JONES Patient Accounts Manager 815-232-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227019370) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |