Individual
CAROL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 N ROSELLE RD, ROSELLE, IL 60172-1592
(630) 529-9189
Mailing address
221 N FRANZEN ST, BENSENVILLE, IL 60106-1855
(630) 624-1228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.001854
IL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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