Individual
MS. IDANIA VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8424 SKOKIE BLVD, SUITE 207, SKOKIE, IL 60077-2568
(847) 677-9355
Mailing address
8424 SKOKIE BLVD, SUITE 207, SKOKIE, IL 60077-2568
(847) 677-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227017089
IL
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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