Individual
SUSAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6580 N NORTHWEST HWY, CHICAGO, IL 60631-1415
(773) 631-0660
Mailing address
6580 N NORTHWEST HWY, CHICAGO, IL 60631-1415
(773) 631-0660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015595
IL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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