Jacek Miazek is a Massage Therapist based in Chicago, IL. Jacek Miazek practices in Chicago, IL. The NPI Number for Jacek Miazek is 1427662121 and holds a License No. 227.009737 (Illinois).
The current practice location address for Jacek Miazek is 5848 N Mason Ave, Chicago, IL and can be reached out via phone at 708-539-1073.
Location: 5848 N Mason Ave, Chicago, IL, 60646-5408
Provider Profile Details
NPI Number
1427662121
Provider Name
Jacek Miazek
Credential
Provider Entity Type
Individual
Gender
Male
Address
5848 N Mason Ave, Chicago, IL, 60646-5408
Phone Number
708-539-1073
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227.009737 | 01 | IL | PL2659711-BWI182175 |
Provider Business Practice Location Address Details
Address
5848 N Mason Ave
City
State
Zip
60646-5408
Phone Number
708-539-1073
Fax Number
Provider Business Mailing Address Details
Address
5848 N Mason Ave
City
State
Zip
60646-5408
Phone Number
708-539-1073
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.009737 (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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