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Individual

PATRICIA AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4944 W WOLFRAM ST, CHICAGO, IL 60641-5142
(773) 577-7548
Mailing address
4944 W WOLFRAM ST, CHICAGO, IL 60641-5142
(773) 577-7548

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022604
IL

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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