Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104206598 Individual Practitioner Female Practitioner

Sandra Juel Black , LMT

Massage Therapist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Sandra Black, LMT is a registered healthcare professional specializing in Massage Therapist in Chicago, IL. Practice services are available at 2052 N CLEVELAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2052 N Cleveland Ave
Garden Suite

Chicago, IL 606144505

Telephone 7732812225
Fax 7732812226
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
318 Specialists

Practicing in Chicago, IL (1467 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License IL 227.005112

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License IA 006290

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1508451147

Doctor of Chiropractic

Maria Diaz

Contractor

NPI 1881073849

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2015

Registered at 2052 N CLEVELAND AVE, GARDEN SUITE, CHICAGO, IL 606144505 (Tel: 7732812225)

📍
Updated Business Mailing Address June 01, 2015

Registered at PO BOX 371, SHELL ROCK, IA 506700371 (Tel: 7734902259)

👤
Provider Name / Credentials Updated June 01, 2015

Recorded as SANDRA BLACK, L.M.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2015

Massage Therapist (License #227.005112 in IL)

🟢
Initial NPI Registration & Enumeration June 01, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104206598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2015
Last Update: June 01, 2015
Sole Proprietor: Yes

Mailing Address

Po Box 371

Shell Rock, IA 506700371

Phone: 7734902259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.