Tina Adlam, L.M.T.
Individual provider Active NPI Massage Therapist · Flossmoor, IL
NPI 1386987121 · NPPES record last updated Mar 29, 2013
Key facts
- NPI
- 1386987121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 227015353 (IL)
- Practice address
- 3329 Vollmer Rd
Flossmoor, IL 60422-2003 - Phone
- (708) 206-2750
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 227015353 | IL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227015353 | IL | Yes |
Addresses
Primary practice location
3329 Vollmer Rd
Flossmoor, IL 60422-2003
Mailing address
582 Ranger Dr
Chicago Heights, IL 60411-1911
Phone (708) 205-5185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227015353 | Other | IL | STATE LICENSE |
Other providers in Flossmoor, IL
- A Totality of Care Inc.
- Irene Adeleke
- Adebomi Temitope Adeniji
- Joy Ngozi Adugba
- Advanced Caretakers, Inc.
- Advanced Caretakers, Inc.
- Thomas J. Africano
- Equalla Agee
All providers in Flossmoor, 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 29, 2013. 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.