Active NPI
Michelle Tunisia Miles
- Massage Therapist
- Chicago, IL
National Provider Identifier
1437868460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227016884
- Practice address
- 11012 S Western Ave
Chicago, IL 60643-3928 - Phone
- (773) 298-0990
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227016884 | IL | Primary |
Addresses
Primary practice location
11012 S Western Ave
Chicago, IL 60643-3928
Mailing address
609 Hirsch Ave
Calumet City, IL 60409-4153
Phone (312) 647-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227016884 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1437868460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 HIRSCH AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604094153",
"telephone_number": "312-647-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11012 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606433928",
"telephone_number": "773-298-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "MICHELLE",
"middle_name": "TUNISIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227016884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.