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SANDRA JUEL BLACK L.M.T.
NPI 1104206598
Massage Therapist in Chicago, IL

Active since June 01, 2015
2052 N CLEVELAND AVE, GARDEN SUITE, CHICAGO, IL 60614(773) 281-2225(773) 281-2226 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Juel Black L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA JUEL BLACK L.M.T. (NPI 1104206598) is an individual massage therapist in Chicago, Illinois, licensed in Illinois (227.005112) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1104206598
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSANDRA JUEL BLACKCredential: L.M.T.
Location Address2052 N CLEVELAND AVE, GARDEN SUITEChicago, IL 60614-4505
Mailing AddressPo Box 371Shell Rock, IA 50670-0371 · (773) 490-2259
Phone(773) 281-2225
Fax(773) 281-2226
Sole ProprietorYes
Enumeration DateJune 1, 2015
✔ NPI 1104206598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses✔ Licensed in IL · 227.005112✔ Licensed in IA · 006290
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.
2052 N CLEVELAND AVE, Chicago, IL 60614
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARMITAGE CHIROPRACTIC & WELLNESS CENTER LTD
Chiropractor
2052 N CLEVELAND AVE
CHICAGO, IL 60614
Cook County (773) 281-2225
DR. TAEJIN JEON DC
Chiropractor
2052 N CLEVELAND AVE
CHICAGO, IL 60614
Cook County (773) 281-2225
J&K FAMILY CHIROPRACTIC LLC
Chiropractor
2052 N CLEVELAND AVE
CHICAGO, IL 60614
Cook County (515) 468-8928
MARIA DE LOURDES DIAZ
Contractor
2052 N CLEVELAND AVE
CHICAGO, IL 60614
Cook County (773) 281-2225
J'ANNA MICHELLE ROTERT
Massage Therapist
2052 N CLEVELAND AVE
CHICAGO, IL 60614
Cook County (913) 952-2503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Black's NPI number?

The NPI number for Sandra Black is 1104206598. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Sandra Black located?

Sandra Black practices at 2052 N Cleveland Ave Garden Suite, Chicago, IL 60614. The listed phone number is (773) 281-2225.

What is Sandra Black's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Sandra Black was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.