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

HUMBERTO MEDINA JR., ATC, LMT

Active Sole Proprietor

HUMBERTO MEDINA JR., ATC, LMT is a Massage Therapist healthcare provider located in SOUTH ELGIN, Illinois. NPI 1366800476 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SOUTH ELGIN, IL

Registration Details

NPI Number
1366800476
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2016 (10.491078188514 yrs)
Last Updated
Feb 3, 2016
Licenses
096.001490 (IL)
227.014634 (IL)
Sole Proprietor
Yes

Practice Information

Address
721 HOBART DR UNIT A
SOUTH ELGIN, IL, 601773082
Browse IL providers · Browse ZIP 60177
Phone
6305082386
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in SOUTH ELGIN, IL

Name Credential NPI
MRS. LEAH JENNIFER MCCLOSKEY LMT 1164666913
MR. PHILLIP MENDOZA 1245546191
SARAH DICK LMT 1700178688
MRS. MICHELLE L BARTOLONE LMT 1144502816
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.