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NPI Code Detail

MEDICARE: JOHN G LOUIS LMT

MEDICARE:   JOHN G LOUIS  LMT
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 Therapist227004661IL

General Provider Information

NPI Number : 1780216085
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN G LOUIS LMT
Provider Business Mailing Address
First Line : 40 GREEN BAY RD
Second Line :
City : WINNETKA
State : IL
Zip : 60093-4006
Country : US
Telephone Number : 847-446-5700
Fax Number :
Provider Business Practice Location Address
First Line : 40 GREEN BAY RD
Second Line :
City : WINNETKA
State : IL
Zip : 60093-4006
Country : US
Telephone Number : 847-446-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2020
Last Update Date : 02/05/2020

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Directions to “ JOHN G LOUIS LMT” Practice Location

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