Organization
MASSAGE THERAPY CENTERS OF AMERICA, INC
Active
Other names
River North Massage Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL BISTAS LMT, MBA (PRESIDENT)
(312) 854-2834
Entity
Organization
Contact information
Practice address
747 NORTH LASALLE DR, 3RD FLOOR, CHICAGO, IL 60654
(312) 854-2834
Mailing address
747 NORTH LASALLE DR, 3RD FLOOR, CHICAGO, IL 60654
(312) 854-2834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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