Individual
EVELIN PUUSEPT ZAGONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3423 1/2 N NEWCASTLE AVE, CHICAGO, IL 60634-3754
(773) 849-2234
Mailing address
3423 1/2 N NEWCASTLE AVE, CHICAGO, IL 60634-3754
(773) 849-2234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227011133
IL
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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