Individual
EVELYN SIBULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40W131 CAMPTON XING DR, ST CHARLES, IL 60175-6570
(630) 444-1680
Mailing address
40W131 CAMPTON XING DR, ST CHARLES, IL 60175-6570
(630) 444-1680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007390
IL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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