Individual
CARYN LYNN SKUPIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4321 N CENTRAL AVE STE 105, CHICAGO, IL 60634-3671
(773) 283-8003
Mailing address
4321 N CENTRAL AVE STE 105, CHICAGO, IL 60634-3671
(773) 283-8003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016973
IL
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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