| Brian G G Bullock, | |
|
9000 Waukegan Rd Ste 100, Morton Grove, IL 60053-2128 | |
| (847) 779-6050 | |
| (847) 929-1167 |
| Full Name | Brian G G Bullock |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 9000 Waukegan Rd Ste 100, Morton Grove, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407406002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.003818 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G G Bullock, 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053-2128 Ph: (847) 779-6050 | Brian G G Bullock, 9000 Waukegan Rd Ste 100, Morton Grove, IL 60053-2128 Ph: (847) 779-6050 |
Mrs. Annette Chamness, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6119 Lincoln Ave, Morton Grove, IL 60053 Phone: 847-965-5695 | |
Bogdan Nastase, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9136b Waukegan Rd, Morton Grove, IL 60053 Phone: 773-744-2980 | |
John Chamness, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6119 Lincoln Ave, Morton Grove, IL 60053 Phone: 847-965-5695 |