| NPI | 1265726178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LOMBARDO Wellness Director 847-905-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000495) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |