Individual
PIERCE JULIAN DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2550 COMPASS RD UNIT A-B, GLENVIEW, IL 60026-1610
(847) 802-9608
Mailing address
3448 N DAMEN AVE APT 2, CHICAGO, IL 60618-6106
(773) 517-6011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022022
IL
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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