Moulton, Eulonda

Moulton, Eulonda is an individual health care provider with primary practice located at 7435 Madison St , Forest Park IL 60130-1542. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moulton, Eulonda can be contacted via phone (708) 613-5255.

Contact Information

Primary practice address
7435 Madison St Forest Park IL 60130-1542
Phone: (708) 613-5255
Fax: (708) 290-7434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227022063 Illinois

Profile Details

NPI number 1851059059
LBN Legal business name Moulton, Eulonda
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2021
Last updated Dec 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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