Organization
BERNICE J LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE ALSTON LMT (MANAGING MEMBER)
(815) 981-5540
Entity
Organization
Contact information
Practice address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
(833) 456-8263
Mailing address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
(833) 456-8263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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