KHADIJAH KYSIA

CHICAGO, IL
NPI1205291853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: IL  198001115)
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
-- KHADIJAH KYSIA
1509 S STATE ST
CHICAGO, IL 60605-2804
Phone number: 312-344-1384
Mailing Address
-- KHADIJAH KYSIA
1509 S STATE ST
CHICAGO, IL 60605-2804
Phone number: 312-344-1384