Individual
KATHLEEN ANN CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 LINCOLN AVE, CREST HILL, IL 60403-1928
(815) 685-6934
Mailing address
1720 LINCOLN AVE, CREST HILL, IL 60403-1928
(815) 685-6934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227017783
IL
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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