Individual
MS. AUDREY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1834 W NORTH AVE # 1, CHICAGO, IL 60622-1312
(773) 227-9150
(773) 227-9160
Mailing address
1931 W EVERGREEN AVE APT 3, CHICAGO, IL 60622-6958
(312) 802-0493
(773) 227-9160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.013694
IL
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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