Individual
TADDAW D ACANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3335 W PRATT AVE APT 1, LINCOLNWOOD, IL 60712-3850
(847) 331-3882
Mailing address
3335 W PRATT AVE APT 1, LINCOLNWOOD, IL 60712-3850
(847) 331-3882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021614
IL
Other
Enumeration date
12/13/2020
Last updated
07/22/2023
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