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Organization
MEDIMASSAGE LLC
Active
Organization
MEDIMASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILIANA JASMINE SILVA I CMT, PTA (OWNER/ CLINIC DIRECTOR)
(708) 759-7903
Entity
Organization
Contact information
Practice address
1910 S. HIGHLAND AVE. UNIT 260, LOMBARD, IL 60148
(630) 776-3043
(630) 929-1390
Mailing address
1910 S. HIGHLAND AVE. UNIT 260, LOMBARD, IL 60148
(630) 776-3043
(630) 929-1390
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/15/2022
Last updated
07/29/2023
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