| NPI | 1598825556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY IN JAE SUH Managing Member 773-227-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198.000610) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 225100000X Physical Therapist (Licence: IL 070.016665) | |
| 225700000X Massage Therapist (Licence: IL 227.008514) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-03-30 |