Individual
LORETTA BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7646 W TOUHY AVE, CHICAGO, IL 60631-4249
(773) 774-5610
Mailing address
6624 N ONARGA AVE, CHICAGO, IL 60631-1434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227001394
IL
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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