Individual
MR. SERGEI SMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1546 BARCLAY BLVD, BUFFALO GROVE, IL 60089-4530
(847) 465-8415
(847) 465-8608
Mailing address
1546 BARCLAY BLVD, BUFFALO GROVE, IL 60089-4530
(847) 465-8415
(847) 465-8608
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635656
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/03/2006
Last updated
07/08/2007
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