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Individual

CHRIS A WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
680 N LAKE SHORE DR, SUITE 815, CHICAGO, IL 60611-4546
(312) 926-6338
Mailing address
680 N LAKE SHORE DR, SUITE 815, CHICAGO, IL 60611-4546

Taxonomy

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

Other

Enumeration date
02/13/2008
Last updated
02/13/2008
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