Individual
LAUREN N GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 529-0057
Mailing address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 529-0057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.010272
IL
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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