Individual
LANITA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 183RD ST, HOMEWOOD, IL 60430-3134
(708) 798-5556
(708) 798-5550
Mailing address
2417 183RD ST, HOMEWOOD, IL 60430-3134
(708) 798-5556
(708) 798-5550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016669
IL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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