| Kisha Daniel, LMT | |
|
4413 Roosevelt Rd Ste 100, Hillside, IL 60162-2057 | |
| (773) 425-1201 | |
| Not Available |
| Full Name | Kisha Daniel |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 4413 Roosevelt Rd Ste 100, Hillside, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225736150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.017709 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kisha Daniel, LMT 3449 W Monroe St, Chicago, IL 60624-2957 Ph: (312) 709-0400 | Kisha Daniel, LMT 4413 Roosevelt Rd Ste 100, Hillside, IL 60162-2057 Ph: (773) 425-1201 |
Anna Kuczaj, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4413 Roosevelt Rd, Suite 100, Hillside, IL 60162 Phone: 708-449-5900 Fax: 708-499-5901 | |
Keith Destefano, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 High Ridge Rd, Hillside, IL 60162 Phone: 708-420-8923 |