Brian G G Bullock - Morton Grove, IL

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.

Location: 9000 Waukegan Rd Ste 100, Morton Grove, IL, 60053-2128

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

Address

9000 Waukegan Rd Ste 100

City

Morton Grove

State

Illinois

Zip

60053-2128

Phone Number

847-779-6050

Fax Number

847-929-1167

Address

9000 Waukegan Rd Ste 100

City

Morton Grove

State

Illinois

Zip

60053-2128

Phone Number

847-779-6050

Fax Number

847-929-1167

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

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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