NPI | 1659778421 |
---|---|
Entity Type | Organization |
Authorized Contact | MILDRED ABONCE Vice President 708-613-5690 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000100) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 227007446) |
174400000X Specialist (Licence: IL 227004827) | |
Enumeration Date | 2014-11-22 |
Last Update Date | 2014-11-22 |