Individual
CHRISTIAN BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2732 N LINCOLN AVE, CHICAGO, IL 60614-7431
(312) 235-6773
Mailing address
683 N MILWAUKEE AVE APT 304, CHICAGO, IL 60642-6992
(773) 505-6869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.017132
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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