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Contact Information

MICHELE BOURDAGE
110 S. WYNSTONE PARK DRIVE
SUITE 105
NORTH BARRINGTON, IL60010
 Phone: 847-540-6060
 Fax: 547-277-8012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MICHELE BOURDAGE · (Female)

NPI # 1790163673
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2015
Last updated 05/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 227.013577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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