Organization
BLUE ISLAND TRADITIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE SCESCKE (OWNER)
(312) 291-8298
Entity
Organization
Contact information
Practice address
1843 S RACINE AVE, CHICAGO, IL 60608-3213
(773) 332-9438
Mailing address
1843 S RACINE AVE, CHICAGO, IL 60608-3213
(773) 332-9438
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
1980011282
IL
225700000X
Massage Therapist
227014734
IL
Other
Enumeration date
02/13/2018
Last updated
06/18/2019
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