Provider Demographics
NPI:1598832685
Name:HALLMAN, GERI (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:GERI
Middle Name:
Last Name:HALLMAN
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-2353
Mailing Address - Country:US
Mailing Address - Phone:630-293-8698
Mailing Address - Fax:630-231-8722
Practice Address - Street 1:1705 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-2353
Practice Address - Country:US
Practice Address - Phone:630-293-8698
Practice Address - Fax:630-231-8722
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist