Individual
ELLIOTT CHALLANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
838 S 4TH ST STE B, SPRINGFIELD, IL 62703-2274
(217) 416-7649
Mailing address
838 S 4TH ST STE B, SPRINGFIELD, IL 62703-2274
(217) 416-7649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.019555
IL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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