Provider Demographics
NPI:1881086080
Name:BODYWORKS FOR VETS
Entity type:Organization
Organization Name:BODYWORKS FOR VETS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABONCE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:773-704-0289
Mailing Address - Street 1:4432 OAKTON ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3259
Mailing Address - Country:US
Mailing Address - Phone:847-213-0988
Mailing Address - Fax:
Practice Address - Street 1:4432 OAKTON ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3259
Practice Address - Country:US
Practice Address - Phone:847-213-0988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare