Individual
TAMMY BAUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S NAPER BLVD, NAPERVILLE, IL 60540-8312
(630) 527-9100
Mailing address
0N077 FORSYTHE CT, WINFIELD, IL 60190-1735
(630) 777-1438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012103
IL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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