Individual
MR. KENNETH RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7907 S RHODES AVE, CHICAGO, IL 60619-3019
(773) 987-6538
Mailing address
7907 SO. RHODES AVE., CHICAGO, IL 60619
(773) 987-6538
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009717
IL
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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