Individual
EDGAR CHAVEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1120 W ARMY TRAIL BLVD, ADDISON, IL 60101-3101
(630) 827-9466
Mailing address
1120 W ARMY TRAIL BLVD, ADDISON, IL 60101-3101
(630) 827-9466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227020298
IL
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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