Individual
DORIS L JESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
313 W MAPLE ST, NEW LENOX, IL 60451-1633
(815) 717-6483
(312) 277-6939
Mailing address
5559 W MAIN ST, MONEE, IL 60449-9290
(708) 897-6226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009621
IL
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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