Individual
ALLACEEA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 W VAN BUREN ST # 1, CHICAGO, IL 60624-3132
(773) 495-0820
Mailing address
3824 W VAN BUREN ST # 1, CHICAGO, IL 60624-3132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227006552
IL
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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