Individual
STEPHANIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5113 S HARPER AVE FL 2, CHICAGO, IL 60615-4119
(312) 772-6798
Mailing address
6841 S JEFFERY BLVD, CHICAGO, IL 60649-1519
(309) 361-5888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022076
IL
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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