Individual
VIKTOR DANCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 BIESTERFIELD RD, APT 205, ELK GROVE VILLAGE, IL 60007-7328
(773) 386-4109
Mailing address
540 BIESTERFIELD RD, APT 205, ELK GROVE VILLAGE, IL 60007-7328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227.012918
LICENSED MASSAGE THERAPIST
IL
Enumeration date
12/07/2013
Last updated
12/07/2013
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