Individual
MR. RICHARD RAY ROSZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1111 WESTGATE ST, #115, OAK PARK, IL 60301-1007
(773) 895-0574
Mailing address
4249 N FRANCISCO AVE, CHICAGO, IL 60618-2609
(773) 895-0574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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