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Carol Clark
Massage Therapist in Roselle, Illinois
NPI 1790192144

Carol Clark is a Massage Therapist based in Bensenville, IL. Carol Clark practices in Roselle, IL. The NPI Number for Carol Clark is 1790192144 and holds a License No. 227.001854 (Illinois).

The current practice location address for Carol Clark is 10 N Roselle Rd, Roselle, IL and can be reached out via phone at 630-529-9189. You can also correspond with Carol Clark through the mailing address at 221 N FRANZEN ST, BENSENVILLE, IL - 60106-1855 (mailing address contact number: 630-624-1228).

Location: 10 N Roselle Rd, Roselle, IL, 60106-1855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790192144
Provider Name
Carol Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 N Roselle Rd, Roselle, IL, 60106-1855
Phone Number
630-529-9189
Fax Number
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 N Roselle Rd
City
Roselle
State
Illinois
Zip
60172-1592
Phone Number
630-529-9189
Fax Number
person
Provider Business Mailing Address Details
Address
221 N Franzen St
City
Bensenville
State
Illinois
Zip
60106-1855
Phone Number
630-624-1228
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.001854 (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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