Individual
MS. DANUTA B SUPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8364 W GRAND AVE, RIVER GROVE, IL 60171
(708) 452-5686
(708) 452-1648
Mailing address
763 DOVER PL, WHEELING, IL 60090
(773) 501-0306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227000934
IL
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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