RYAN KRISTOPHER DAVENPORT

MUNDELEIN, IL
NPI1649518192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: IL  198.001118)
Enumeration Date2013-01-17
Last Update Date2013-01-17
Business Address
-- RYAN KRISTOPHER DAVENPORT L.A.c.
700 N LAKE ST #102
MUNDELEIN, IL 60060-1357
Phone number: 847-949-0063
Mailing Address
-- RYAN KRISTOPHER DAVENPORT L.A.c.
1537 N ARLINGTON HEIGHTS RD UNIT B
ARLINGTON HEIGHTS, IL 60004-3971
Phone number: 815-793-4708