Individual
MS. MICHELLE NANCY MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1610 W NELSON ST, APT. 2, CHICAGO, IL 60657-3027
(773) 307-3466
Mailing address
1610 W NELSON ST, APT. 2, CHICAGO, IL 60657-3027
(773) 307-3466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227004934
IL
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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