Healthcare Provider Details

I. General information

NPI: 1639032444
Provider Name (Legal Business Name): ULEMJAMIRLANGUI HAYANHIRVAA LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1779 GREEN BAY RD
HIGHLAND PARK IL
60035-3118
US

IV. Provider business mailing address

25 KNIGHTSBRIDGE CT
MUNDELEIN IL
60060-3246
US

V. Phone/Fax

Practice location:
  • Phone: 847-266-0131
  • Fax: 847-266-0127
Mailing address:
  • Phone: 224-286-2998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227.023048
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: