Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN G G BULLOCK
ActiveBRIAN G G BULLOCK is a Massage Therapist healthcare provider located in MORTON GROVE, Illinois. NPI 1407406002 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MORTON GROVE, IL
Registration Details
- NPI Number
- 1407406002
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2019 (6.9441722667252 yrs)
- Last Updated
- Sep 16, 2019
- License
-
227.003818 (IL)
Practice Information
- Address
-
9000 WAUKEGAN RD STE 100MORTON GROVE, IL, 600532128Browse IL providers · Browse ZIP 60053
- Phone
- 8477796050
- Fax
- 8479291167
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MORTON GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| JOHN CHAMNESS | LMT | 1649657438 |
| MRS. ANNETTE CHAMNESS | — | 1093192429 |
| BOGDAN NASTASE | LMT | 1255189288 |
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.