Individual
MS. THERESA ROSE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
3850 W 95TH STREET, EVERGREEN PARK, IL 60805-2034
(773) 556-5333
(708) 843-5811
Mailing address
3850 W 95TH STREET, EVERGREEN PARK, IL 60805-2034
(773) 556-5333
(708) 843-5811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-008050
IL
Other
Enumeration date
03/12/2009
Last updated
09/21/2018
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