| NPI | 1679731541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WHITESIDE President / Co Owner 773-880-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198-000545) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198-000583) |
| 171100000X Acupuncturist (Licence: IL 198-000699) | |
| 171100000X Acupuncturist (Licence: IL 198-000672) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |