Individual
MARC POLECASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
668 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3364
(847) 577-2660
(847) 577-2661
Mailing address
668 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3364
(847) 577-2660
(847) 577-2661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.011678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227.011678
LICENSED MASSAGE THERAPIST
IL
Enumeration date
07/07/2014
Last updated
07/07/2014
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