Individual
LUBA PALERMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7402 DARIEN LN, DARIEN, IL 60561-4109
(630) 434-0053
Mailing address
7402 DARIEN LN, DARIEN, IL 60561-4109
(630) 434-0053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227006163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPRATORY DEVELOPMENTAL REHABILITATION AND RESTORITIVE SERVICE PROVIDOR
—
Enumeration date
09/14/2009
Last updated
09/14/2009
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