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Individual

RENEE GENOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
(312) 926-3627
Mailing address
680 N LAKE SHORE DR, SUITE 818, CHICAGO, IL 60611-4546

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227006856
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227006856
IL LICENSE
IL
Enumeration date
08/24/2009
Last updated
08/24/2009
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