Individual
JHOSUA E ALVARADO BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
2656 W MONTROSE AVE # 100, CHICAGO, IL 60618-1559
(708) 505-6400
Mailing address
3707 W SCHOOL ST UNIT 1, CHICAGO, IL 60618-5229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2270211101
IL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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