Doctor Name: | MR. DANIEL ELIAS PALOS |
NPI Number: | 1194071407 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCMT |
License Number: | 227.013300 |
Business Practice Address: | 6101 Knoll Wood Rd 306 Willowbrook, IL - 605272045 |
Business Phone Number: | 6306563798 |
Business Fax Number: | |
Mailing Address: | 6101 Knoll Wood Rd, 306 WILLOWBROOK |
State: | IL |
Postal Code: | 605272045 |
Phone Number: | 6306563798 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2012 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 227.013300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |