| NPI | 1417197955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R NORTHAGE CEO 773-764-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000302) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.000412) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |