Individual
KIM C MILLER-HUGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7451 MADISON ST, FOREST PARK, IL 60130-1596
(773) 459-6645
Mailing address
7428 WASHINGTON ST APT 208, FOREST PARK, IL 60130-1500
(773) 459-6645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2270202755
IL
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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