Individual
DIANNE SEPPELFRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
(312) 926-3627
Mailing address
150 E HURON ST, SUITE 1100, CHICAGO, IL 60611-2999
(312) 926-3627
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227000048
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227000048
STATE LICENSE
IL
Enumeration date
01/19/2009
Last updated
01/19/2009
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