Organization
PULLING DOWN THE MOON
Active
Organization
PULLING DOWN THE MOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MARIANO (MASSAGE THERAPIST)
(847) 997-2135
Entity
Organization
Contact information
Practice address
900 N KINGSBURY ST, CHICAGO, IL 60610-7432
(312) 321-0004
Mailing address
2127 W DICKENS AVE, COACH HOUSE, CHICAGO, IL 60647-4520
(847) 997-2135
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013072
IL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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