MEDICARE: OKSANA HRYHORASHCHUK 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
1	225700000X	Massage Therapist	227.034666	IL

General Provider Information

NPI Number	:	1376476473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKSANA HRYHORASHCHUK LMT

Provider Business Mailing Address
First Line	:	1215 MCHENRY RD STE 130B
Second Line	:	ROOM 5
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089
Country	:	US
Telephone Number	:	224-202-2518
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 MCHENRY RD STE 130B
Second Line	:	ROOM 5
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089
Country	:	US
Telephone Number	:	224-202-2518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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