Most Relevant Information
Provider Data
| NPI Number: | 1003577784 |
| Provider Name: | JOSE RAUL AGUIRRE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 227.019052 |
Most Important Dates
| Enumeration Date: | 01/05/2022 |
| Last Updated: | 01/05/2022 |
Provider Practice Location
2627 EUCLID AVE
BERWYN
IL
604022519
Practice Location Phone/Fax
| Phone: | 8723334356 |
| Fax: |
Provider Mailing Location
2627 EUCLID AVE
BERWYN
IL
604022519
Provider Mailing Phone/Fax
| Phone: | 8723334356 |
| Fax: |