Medimassage LLC
Clinic/Center, Rehabilitation in Lombard, IL. Organization (NPI-2).
NPI number1194468280
StatusActive
Last updated in NPPESJul 29, 2023
Details
- NPI
- 1194468280
- Entity type
- Organization (NPI-2)
- Legal business name
- Medimassage LLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2022
- Certification date
- Jul 29, 2023
- Last updated
- Jul 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
1910 S. Highland Ave. Unit 260Lombard, IL 60148
Phone 630-776-3043 · Fax 630-929-1390
Mailing address
1910 S. Highland Ave. Unit 260Lombard, IL 60148
Phone 630-776-3043 · Fax 630-929-1390
Other practice locations
1910 S Highland Ave. Unit 260
Lombard, IL 60148
Lombard, IL 60148
Phone 708-759-7903
Authorized official
Liliana Jasmine Silva
Owner/ Clinic Director
7087597903
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