MEDICARE: GRETA JURCIKONIENE

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	227002107	IL

General Provider Information

NPI Number	:	1538486220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETA JURCIKONIENE

Provider Business Mailing Address
First Line	:	325 W PLEASANT HILL BLVD
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-6851
Country	:	US
Telephone Number	:	224-522-7474
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 W PLEASANT HILL BLVD
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-6851
Country	:	US
Telephone Number	:	224-522-7474
Fax Number	:

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

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	05/09/2016

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Directions to “ GRETA JURCIKONIENE ” Practice Location

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