Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandra Juel Black, LMT

Individual provider Massage Therapist · NPI 1104206598

Sandra Juel Black, LMT is a Massage Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Iowa and Illinois.

Licensed in
IA, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2052 N Cleveland Ave Gdn Ste
Chicago, IL 60614-4505
Phone: (773) 281-2225
Fax: (773) 281-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.005112 (IL)
Massage Therapist Taxonomy 225700000X · Licence 006290 (IA)

Record details

NPI number1104206598
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 1, 2015
Last updated in NPPESJune 1, 2015

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