| Mr Derrick A Powell, LMT | |
|
586 S Rosehall Ln, Round Lake, IL 60073-4268 | |
| (847) 505-6944 | |
| Not Available |
| Full Name | Mr Derrick A Powell |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 586 S Rosehall Ln, Round Lake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487390084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227022514 (Illinois) | Secondary |
| 225700000X | Massage Therapist | 227.022514 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derrick A Powell, LMT 586 S Rosehall Ln, Round Lake, IL 60073-4268 Ph: (847) 505-6944 | Mr Derrick A Powell, LMT 586 S Rosehall Ln, Round Lake, IL 60073-4268 Ph: (847) 505-6944 |
Paul Eubanks, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 443 Finch Dr, Round Lake, IL 60073 Phone: 773-316-6775 | |
Linda Lee Eaton, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 S Curran Road, Round Lake, IL 60073 Phone: 847-624-5049 | |
Linda Kelly, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 334 Hillandale St, Round Lake, IL 60073 Phone: 224-406-0480 |