Individual
MR. ALFREDO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
469 MONTAUK LN, PINGREE GROVE, IL 60140-9164
(847) 946-0724
Mailing address
469 MONTAUK LN, PINGREE GROVE, IL 60140-9164
(847) 946-0724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.010131
IL
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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