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Carlos Gonzalez, LMT
Massage Therapist in Chicago, Illinois
NPI 1730598699

Carlos Gonzalez is a Massage Therapist based in Chicago, IL. Carlos Gonzalez practices in Chicago, IL and has the professional credentials of LMT. The NPI Number for Carlos Gonzalez is 1730598699 and holds a License No. 227.007432 (Illinois).

The current practice location address for Carlos Gonzalez is 6518 N Clark St, Chicago, IL and can be reached out via phone at 773-326-5615.

Location: 6518 N Clark St, Chicago, IL, 60626-3109
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Provider Profile Details
NPI Number
1730598699
Provider Name
Carlos Gonzalez
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
6518 N Clark St, Chicago, IL, 60626-3109
Phone Number
773-326-5615
Fax Number
Provider Enumeration Date
08/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227.007432 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS
institution
Provider Business Practice Location Address Details
Address
6518 N Clark St
City
State
Zip
60626-4002
Phone Number
773-326-5615
Fax Number
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Provider Business Mailing Address Details
Address
6518 N Clark St
City
State
Zip
60626-4002
Phone Number
773-326-5615
Fax Number
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Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.007432 (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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