Individual
MR. WILLIAM EUGENE SWARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
103 N MILWAUKEE AVE APT C12, LAKE VILLA, IL 60046-8901
(224) 234-4667
Mailing address
103 N MILWAUKEE AVE APT C12, LAKE VILLA, IL 60046-8901
(224) 234-4667
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227.009878
ILLINOIS LICENSE NUMBER
IL
Enumeration date
03/02/2009
Last updated
03/02/2009
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