MEDICARE: ZULFIA MINNEBAEVA 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	227019888	IL

General Provider Information

NPI Number	:	1427823541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULFIA MINNEBAEVA LMT

Provider Business Mailing Address
First Line	:	520 N KINGSBURY ST UNIT 3808
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-8779
Country	:	US
Telephone Number	:	312-813-2839
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 N KINGSBURY ST UNIT 3808
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-8779
Country	:	US
Telephone Number	:	312-813-2839
Fax Number	:

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

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	11/20/2023

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Directions to “ ZULFIA MINNEBAEVA LMT” Practice Location

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