Stephen C Bourdeau in Bolingbrook - Massage Therapist
Stephen C Bourdeau - NPI 1598980955
Stephen C Bourdeau is a Massage Therapist in Bolingbrook, Illinois. Stephen C Bourdeau practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Stephen C Bourdeau is 1598980955. The last update date is 2017-09-15.
Stephen C Bourdeau's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962222 and fax number 6307599510. The mailing address for Stephen C Bourdeau is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen C Bourdeau |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962222 |
| Fax Number | 6307599510 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1598980955 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2017-09-15 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962222 |
| Fax Number | 6307599510 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00023394 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique provider identifier assigned to Stephen C Bourdeau?
The Stephen C Bourdeau has been issued the NPI (National Provider Identifier) 1598980955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Stephen C Bourdeau?
The Stephen C Bourdeau is situated at 790 Remington Blvd, in the city of Bolingbrook, state of IL, with the zip code 604404909.
What is the area of specialization for Stephen C Bourdeau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen C Bourdeau is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598980955 to Stephen C Bourdeau?
The Centers for Medicare & Medicaid Services assigned the 1598980955 to Stephen C Bourdeau on 2007-04-13.
As of what date were the Stephen C Bourdeau's details last updated?
The information pertaining to the Stephen C Bourdeau, including its address, specialty, and other details, was most recently updated on 2017-09-15.