Organization
AMERICAN STYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR GOUCHTCHIN (MASSAGE THERAPIST)
(262) 357-1090
Entity
Organization
Contact information
Practice address
333 W DUNDEE RD, BUFFALO GROVE, IL 60089-3545
(847) 708-1315
Mailing address
1663 S PINE ST, GRAFTON, WI 53024-2044
(262) 357-1090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227011643
IL
Other
Enumeration date
05/09/2015
Last updated
06/06/2015
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