Individual
JUSTIN C DESCHAMPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3244 W CARROLL AVE # 1, CHICAGO, IL 60624-2030
(773) 240-2727
Mailing address
3244 W CARROLL AVE # 1, CHICAGO, IL 60624-2030
(773) 240-2727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015820
IL
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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