person
Brian G G Bullock
Massage Therapist in Morton Grove, Illinois
NPI 1407406002

Brian G G Bullock is a Massage Therapist based in Morton Grove, IL. Brian G G Bullock practices in Morton Grove, IL. The NPI Number for Brian G G Bullock is 1407406002 and holds a License No. 227.003818 (Illinois).

The current practice location address for Brian G G Bullock is 9000 Waukegan Rd Ste 100, Morton Grove, IL and can be reached out via phone at 847-779-6050 and via fax at 847-929-1167. You can also correspond with Brian G G Bullock through the mailing address at 9000 WAUKEGAN RD STE 100, MORTON GROVE, IL - 60053-2128 (mailing address contact number: 847-779-6050).

Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL, 60053-2128
person
Provider Profile Details
NPI Number
1407406002
Provider Name
Brian G G Bullock
Credential
Provider Entity Type
Individual
Gender
Male
Address
9000 Waukegan Rd Ste 100, Morton Grove, IL, 60053-2128
Phone Number
847-779-6050
Fax Number
847-929-1167
Provider Enumeration Date
09/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9000 Waukegan Rd Ste 100
City
State
Zip
60053-2128
Phone Number
847-779-6050
Fax Number
847-929-1167
person
Provider Business Mailing Address Details
Address
9000 Waukegan Rd Ste 100
City
State
Zip
60053-2128
Phone Number
847-779-6050
Fax Number
847-929-1167
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.003818 (Illinois)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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