Individual
CARLOS PECCIOTTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5940 N SHERIDAN RD, CHICAGO, IL 60660-3644
(773) 332-0139
Mailing address
2142 W SUPERIOR ST FL 1, CHICAGO, IL 60612-1316
(773) 332-0139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-002147
IL
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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