Individual
DENNISON ADAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5157 N FRANCISCO AVE, CHICAGO, IL 60625-3655
(773) 878-9936
Mailing address
5215 N WINTHROP AVE, CHICAGO, IL 60640-2305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021317
IL
Other
Enumeration date
01/20/2020
Last updated
05/14/2020
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