Bernice J LLC
Massage Therapist in Chicago, IL. Organization (NPI-2).
NPI number1265072136
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1265072136
- Entity type
- Organization (NPI-2)
- Legal business name
- Bernice J LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2020
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1016 W Jackson BlvdChicago, IL 60607-2914
Phone 833-456-8263
Mailing address
1016 W Jackson BlvdChicago, IL 60607-2914
Phone 833-456-8263
Authorized official
Bernice Alston
Managing Member
8159815540
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