Individual
JAMES BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CPT, FST, PES
Contact information
Practice address
1151 W 15TH ST, UNIT 414, CHICAGO, IL 60608-3154
(847) 542-1606
Mailing address
1151 W 15TH ST, UNIT 414, CHICAGO, IL 60608-3154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.018139
IL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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