Keith Destefano, LMT | |
320 High Ridge Rd, Hillside, IL 60162-1621 | |
(708) 420-8923 | |
Not Available |
Full Name | Keith Destefano |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 320 High Ridge Rd, Hillside, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730596370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 227013561 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Keith Destefano, LMT 320 High Ridge Rd, Hillside, IL 60162-1621 Ph: (708) 420-8923 | Keith Destefano, LMT 320 High Ridge Rd, Hillside, IL 60162-1621 Ph: (708) 420-8923 |
Anna Kuczaj, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4413 Roosevelt Rd, Suite 100, Hillside, IL 60162 Phone: 708-449-5900 Fax: 708-499-5901 | |
Kisha Daniel, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4413 Roosevelt Rd Ste 100, Hillside, IL 60162 Phone: 773-425-1201 |