Individual
JENNIFER FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
673 CAMERON DRIVE, ANTIOCH, IL 60002
(847) 508-7855
Mailing address
673 CAMERON DRIVE, ANTIOCH, IL 60002
(847) 508-7855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-007459
IL
Other
Enumeration date
08/08/2014
Last updated
06/30/2015
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