Individual
MRS. FAYDRA SHANTEL DOPEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 NORTHFIELD RD, NORTHFIELD, IL 60093-3309
(847) 322-7729
Mailing address
193 NORTHFIELD RD, NORTHFIELD, IL 60093-3309
(847) 322-7729
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009207
IL
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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