| NPI | 1487775060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN A DECICCO Owner 847-577-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000665) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 164002932) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2025-09-11 |