Individual
MS. LYDIA AMY HOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3259 N ASHLAND AVE, CHICAGO, IL 60657-2129
(773) 370-3174
Mailing address
5054 NORTH ST.LOUIS AVENUE, CHICAGO, IL 60625-5529
(773) 370-3174
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227001168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750586749
TOTAL BALANCE CHIROPRACTIC
IL
Enumeration date
02/10/2015
Last updated
02/10/2015
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