Individual
JAMELA CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 W MONTROSE AVE STE B, CHICAGO, IL 60613-1214
(773) 960-0095
Mailing address
1626 W MONTROSE AVE STE B, CHICAGO, IL 60613-1214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227023106
IL
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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