VRC Massage & Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1200000707 Issued in IL

Legal business name

VRC MASSAGE & WELLNESS

Practice address

8850 Skokie Blvd
Suite 100
Skokie, IL 60077-2224

Phone

(847) 423-2940

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vincent R Celdran, LMT

Title

Ceo

Phone

(847) 423-2940

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1447672019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 SKOKIE BLVD",
            "address_2": "SUITE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772224",
            "telephone_number": "847-423-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 SKOKIE BLVD",
            "address_2": "SUITE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772224",
            "telephone_number": "847-423-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VRC MASSAGE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "CELDRAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-423-2940",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "1200000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.