Individual
PETAR STOYANOV KRIVOSHIYSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6050 W EASTWOOD AVE APT 106, CHICAGO, IL 60630-3175
(773) 414-2789
Mailing address
6050 W EASTWOOD AVE APT 106, CHICAGO, IL 60630-3175
(773) 414-2789
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016981
IL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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