Individual
PAUL W. NORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCST, LMT
Contact information
Practice address
4915 N ALBANY AVE, CHICAGO, IL 60625-4205
(773) 583-7959
Mailing address
4915 N ALBANY AVE, CHICAGO, IL 60625-7431
(773) 294-6510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-004434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227-004434
LICENSED MASSAGE THERAPST
IL
Enumeration date
10/31/2005
Last updated
12/07/2021
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