Individual
MARCUS A. BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
263 N YORK ST STE 202, ELMHURST, IL 60126-2758
(312) 468-6674
Mailing address
7452 WARREN ST, FOREST PARK, IL 60130-1506
(773) 370-2250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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