Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johneil Torena Juckett

Individual provider Massage Therapist · NPI 1558505982

Johneil Torena Juckett is a Massage Therapist in Gages Lake, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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Practice location Address checks out

33707 N Lake Shore Dr
Gages Lake, IL 60030-1748
Phone: (847) 521-9559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227008214 (IL)

Record details

NPI number1558505982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 29, 2009
Last updated in NPPESApril 29, 2009