Individual
SAMUEL JANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1752 WINDSOR RD STE 202, LOVES PARK, IL 61111-4276
(815) 608-6262
Mailing address
1752 WINDSOR RD STE 202, LOVES PARK, IL 61111-4276
(815) 608-6262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013960
IL
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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