Individual
SOPHIE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1910 S HIGHLAND AVE STE 260, LOMBARD, IL 60148-6129
(630) 776-3043
(630) 929-1390
Mailing address
1910 S HIGHLAND AVE STE 260, LOMBARD, IL 60148-6129
(630) 776-3043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227000263
IL
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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