Roma Daniene, LMT
Individual provider Active NPI Massage Therapist · Mundelein, IL
NPI 1306646179 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1306646179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227.004160 (IL)
- Practice address
- 550 N. Midlothian Rd.
Suite 300
Mundelein, IL 60060 - Phone
- (847) 445-1178
- Fax
- (224) 778-5491
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227.004160 | IL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wellness Center | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 227.004160 | IL | Yes |
Addresses
Primary practice location
550 N. Midlothian Rd.
Suite 300
Mundelein, IL 60060
Mailing address
550 N. Midlothian Rd.
Suite 300
Mundelein, IL 60060
Phone (847) 445-1178
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All providers in Mundelein, IL · Massage Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.