Individual
WILLIAM ALEXANDER GIVENS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 529-0057
Mailing address
220 W 44TH AVE, GARY, IN 46408-3340
(219) 381-5101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015271
IL
Other
Enumeration date
06/13/2022
Last updated
06/21/2022
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