Individual
SABAS SHAWN URIOSTEGUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
79 E 16TH ST, CHICAGO, IL 60616-5520
(312) 842-1229
Mailing address
6026 S SAWYER AVE, CHICAGO, IL 60629-3227
(773) 577-6778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016113
IL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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