Individual
MS. MARYA ITKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5341 W WINONA ST, CHICAGO, IL 60630-2240
(312) 383-3370
Mailing address
5341 W WINONA ST, CHICAGO, IL 60630-2240
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.020388
IL
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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