| Mchenry Massage Center | |
|
1307 Court St Mchenry IL 60050-4422 | |
| (815) 385-8190 | |
| Not Available |
| Full Name | Mchenry Massage Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1307 Court St, Mchenry, Illinois |
| Authorized Official Name and Position | Jon R Petersen (PRESIDENT) |
| Authorized Official Contact | 8153858190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mchenry Massage Center 1307 Court St Mchenry IL 60050-4422 Ph: (815) 385-8190 | Mchenry Massage Center 1307 Court St Mchenry IL 60050-4422 Ph: (815) 385-8190 |
| NPI Number | 1699953869 |
|---|---|
| Provider Enumeration Date | 02/09/2008 |
| Last Update Date | 02/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699953869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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