Mrs Michele Bourdage, | |
110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 | |
(847) 540-6060 | |
(547) 277-8012 |
Full Name | Mrs Michele Bourdage |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 110 S. Wynstone Park Drive, N. Barrington, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790163673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 227.013577 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Michele Bourdage, 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 Ph: (847) 540-6060 | Mrs Michele Bourdage, 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 Ph: (847) 540-6060 |
Mr. Robert W. Davis, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 S. Wynstone Park Drive Suite 105, N. Barrington, IL 60010 Phone: 847-540-6060 Fax: 847-277-8012 | |
Ms. Marilu Garza, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 S. Wynstone Park Drive, Suite 105, N. Barrington, IL 60010 Phone: 847-540-6060 Fax: 847-277-8012 |