| NPI | 1093124620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C HANOLD Owner/Member 773-885-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000975) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-08 |