Individual
HELENE DECOURCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3524 N MARSHFIELD AVE PH, CHICAGO, IL 60657-1248
(773) 431-3132
Mailing address
3524 N MARSHFIELD AVE PH, CHICAGO, IL 60657-1248
(773) 431-3132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021821
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K11332081677
ID
IL
Enumeration date
09/21/2020
Last updated
09/21/2020
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