Individual
ELLEN WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5239 N CLARK ST, 2ND FLOOR, CHICAGO, IL 60640-2122
(773) 334-7440
Mailing address
5239 N CLARK ST, 2ND FLOOR, CHICAGO, IL 60640-2122
(773) 334-7440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000470
IL
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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