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NPI Code Detail

MEDICARE: VALERIA ROMANOVA

MEDICARE:   VALERIA  ROMANOVA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist227.023295IL

General Provider Information

NPI Number : 1366268955
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIA ROMANOVA
Provider Business Mailing Address
First Line : 4555 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 925 N MILWAUKEE AVE UNIT 300
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1637
Country : US
Telephone Number : 224-632-1859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2024
Last Update Date : 11/27/2024

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Directions to “ VALERIA ROMANOVA ” Practice Location

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