Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA JUEL BLACK, L.M.T.

Active Sole Proprietor

SANDRA JUEL BLACK, L.M.T. is a Massage Therapist healthcare provider located in CHICAGO, Illinois. NPI 1104206598 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · CHICAGO, IL

Registration Details

NPI Number: 1104206598
Provider Type: Individual
Gender: Female
NPI Issued: Jun 1, 2015 (11.17749354477 yrs)
Last Updated: Jun 1, 2015
Licenses: 227.005112 (IL)

006290 (IA)
Sole Proprietor: Yes

Practice Information

Address: 2052 N CLEVELAND AVE

GARDEN SUITE

CHICAGO, IL, 606144505
Browse IL providers · Browse ZIP 60614
Phone: 7732812225
Fax: 7732812226
Primary Specialty: Massage Therapist
225700000X
Additional Specialty: Massage Therapist

Other Massage Therapist Providers in CHICAGO, IL

Name	Credential	NPI
PAUL W. NORDEN	RCST, LMT	1821089772
MRS. MARNI MARIE BEALS	ATC, LMT	1871566034
JASON FLORENCE	MT	1134296536
MS. VERONICA E. MORENO	LMT, CMTPT	1790800043
MS. GINA M. TOTTEN	L.M.T.	1578777363
TRANG VU DONOVAN	L.M.T.	1659582831

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.