Organization
ENLIVEN WELLNESS CENTER LLC
Active
Other names
Massage Evolved
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY BOTELLO LMT, RMT (PRESIDENT)
(773) 738-7146
Entity
Organization
Contact information
Practice address
118 N CLINTON ST, SUITE 102, CHICAGO, IL 60661-2386
(773) 738-7146
(312) 488-4628
Mailing address
118 N CLINTON ST, SUITE 102, CHICAGO, IL 60661-2386
(773) 738-7146
(312) 488-4628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009901
IL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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