Individual
VIGA COSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5944 W LAWRENCE AVE, CHICAGO, IL 60630-3130
(773) 777-6666
Mailing address
5944 W LAWRENCE AVE, CHICAGO, IL 60630-3130
(773) 777-6666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
279876
IL
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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