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Individual

MR. AYBEK IZZATOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1300 BUSCH PKWY, BUFFALO GROVE, IL 60089-4505
(847) 850-5882
(847) 850-5892
Mailing address
1300 BUSCH PKWY, BUFFALO GROVE, IL 60089-4505
(847) 850-5882
(847) 850-5892

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.013765
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227.013765
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
04/10/2015
Last updated
04/10/2015
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