Individual
TINA ADLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3329 VOLLMER RD, FLOSSMOOR, IL 60422-2003
(708) 206-2750
Mailing address
582 RANGER DR, CHICAGO HEIGHTS, IL 60411-1911
(708) 205-5185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227015353
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227015353
STATE LICENSE
IL
Enumeration date
03/29/2013
Last updated
03/29/2013
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