| NPI | 1215338066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MULLEN DESIERTO Licensed Acupuncturist 773-682-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.001110) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |