| 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 |