Individual
MRS. EMMA MACNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31632 N ELLIS DR, UNIT 107, VOLO, IL 60073-9671
(312) 203-7939
Mailing address
31632 N ELLIS DR, UNIT 107, VOLO, IL 60073-9671
(312) 203-7939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009676
IL
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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