Panupong Wardchaodee
Panupong Wardchaodee is a Massage Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1209 W Sherwin Ave Apt 703Chicago, IL 60626-2254
Phone: (636) 649-4562
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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 227021294 (IL) |
|---|
Record details
| NPI number | 1518624048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2021 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
| Mailing address | 1209 W Sherwin Ave Apt 703, Chicago, IL 60626-2254 |
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