Ellen Wildman is a Massage Therapist based in Chicago, IL. Ellen Wildman practices in Chicago, IL. The NPI Number for Ellen Wildman is 1679972863 and holds a License No. 227.000470 (Illinois).
The current practice location address for Ellen Wildman is 5239 N Clark St, Chicago, IL and can be reached out via phone at 773-334-7440.
Location: 5239 N Clark St, Chicago, IL, 60640-2122
Provider Profile Details
NPI Number
1679972863
Provider Name
Ellen Wildman
Credential
Provider Entity Type
Individual
Gender
Female
Address
5239 N Clark St, Chicago, IL, 60640-2122
Phone Number
773-334-7440
Fax Number
Provider Enumeration Date
08/14/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
5239 N Clark St
City
State
Zip
60640-2122
Phone Number
773-334-7440
Fax Number
Provider Business Mailing Address Details
Address
5239 N Clark St
City
State
Zip
60640-2122
Phone Number
773-334-7440
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.000470 (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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