Individual
YAROSLAV NOGINSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 N WOLF RD, DES PLAINES, IL 60016-1045
(847) 322-1532
Mailing address
8118 KEATING AVE APT B4, SKOKIE, IL 60076-3016
(847) 675-2797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007514
IL
Other
Enumeration date
07/04/2009
Last updated
07/04/2009
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