Individual
VIRGINIA DORNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
310 S GREENLEAF ST STE 208, GURNEE, IL 60031-5708
(224) 214-3932
(224) 204-9354
Mailing address
310 S GREENLEAF ST STE 208, GURNEE, IL 60031-5708
(224) 214-3932
(224) 204-9354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227000142
IL
Other
Enumeration date
06/17/2014
Last updated
03/18/2025
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