Individual
BERNADETTA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2502 N HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(708) 800-6179
Mailing address
7910 KARLOV AVE, SKOKIE, IL 60076-3580
(708) 800-6179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021494
IL
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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