BENCHUAN GONG

CHICAGO, IL
NPI1407284177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: IL  198001152)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
Dr. BENCHUAN GONG M.D. (China)
4921 N KIMBALL AVE
CHICAGO, IL 60625-5110
Phone number: 773-583-2142
Mailing Address
Dr. BENCHUAN GONG M.D. (China)
4921 N KIMBALL AVE
CHICAGO, IL 60625-5110
Phone number: 773-583-2142