Individual
SAM GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1847 OAK ST, NORTHFIELD, IL 60093-3013
(847) 881-2861
(847) 881-2630
Mailing address
1847 OAK ST, NORTHFIELD, IL 60093-3013
(847) 881-2861
(847) 881-2630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009549
IL
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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