Individual
JAN YOURIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 LAKE ST, EVANSTON, IL 60201-4317
(847) 864-1130
Mailing address
1131 FOWLER AVE, EVANSTON, IL 60202-1022
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.021333
IL
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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