Individual
PAMELA HEADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
303 QUADRANGLE DR, BOLINGBROOK, IL 60440-3409
(630) 771-1070
(630) 771-1030
Mailing address
5133 MAIN STREET, #2, DOWNERS GROVE, IL 60515
(815) 404-4733
(630) 771-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2252100000X
MASSAGE THERAPY
IL
Enumeration date
03/19/2008
Last updated
03/19/2008
About Stedi
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