Individual
MR. JASON ROBERT BORECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1811 W NORTH AVE STE 202, CHICAGO, IL 60622-1488
(312) 656-1979
Mailing address
1220 N STATE PKWY, APT 907, CHICAGO, IL 60610-8112
(312) 656-1979
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227000122
IL
Other
Enumeration date
06/23/2014
Last updated
07/07/2014
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