Individual
RITA JASENAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 183RD ST, HOMEWOOD, IL 60430-3134
(708) 798-5556
Mailing address
10411 S 81ST CT, PALOS HILLS, IL 60465-1823
(708) 369-9524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147711709
—
IL
Enumeration date
04/26/2018
Last updated
04/26/2018
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