Individual
FATIMA NEFERITI FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RYT, THAI YOGA MASSA
Contact information
Practice address
3322 E. 90TH ST, CHICAGO, IL 60617
(773) 853-4371
Mailing address
8432 S MACKINAW AV, CHICAGO, IL 60617
(317) 480-0584
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
174400000X
Specialist
—
—
225700000X
Massage Therapist
Primary
—
—
261QV0200X
VA Clinic/Center
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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