Sandra Juel Black, LMT | |
2052 N Cleveland Ave, Garden Suite, Chicago, IL 60614-4505 | |
(773) 281-2225 | |
(773) 281-2226 |
Full Name | Sandra Juel Black |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 2052 N Cleveland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104206598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 227.005112 (Illinois) | Primary |
225700000X | Massage Therapist | 006290 (Iowa) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Sandra Juel Black, LMT Po Box 371, Shell Rock, IA 50670-0371 Ph: (773) 490-2259 | Sandra Juel Black, LMT 2052 N Cleveland Ave, Garden Suite, Chicago, IL 60614-4505 Ph: (773) 281-2225 |
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Natalie Koteles, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 11012 S Western Ave, Chicago, IL 60643 Phone: 773-238-5300 | |
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