Individual
DYLON ZICCHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1453 N TALMAN AVE, APT 3, CHICAGO, IL 60622-8786
(201) 835-3098
Mailing address
1453 N TALMAN AVE, APT 3, CHICAGO, IL 60622-8786
(201) 835-3098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013837
IL
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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