Individual
ARNEL ALBALATE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 W ADDISON ST, CHICAGO, IL 60618-9148
(815) 814-8428
Mailing address
3711 W ADDISON ST, CHICAGO, IL 60618-9148
(815) 814-8428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022737
IL
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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