Individual
MICHELLE TUNISIA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11012 S WESTERN AVE, CHICAGO, IL 60643-3928
(773) 298-0990
Mailing address
609 HIRSCH AVE, CALUMET CITY, IL 60409-4153
(312) 647-8333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016884
IL
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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