Individual
SHIRLEY BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7311 W FOREST PRESERVE AVE, CHICAGO, IL 60634-3505
(773) 625-2424
Mailing address
5739 W EASTWOOD AVE, CHICAGO, IL 60630-3309
(773) 615-1651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012109
IL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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