Individual
CLAIRE GYLLENHAAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1352 PATRIOT BLVD, GLENVIEW, IL 60026-7777
(773) 230-2144
Mailing address
32 PARK DR, GLENVIEW, IL 60025-2721
(773) 230-2144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.006252
IL
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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