| NPI | 1902391360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER FONG Founder & Clinic Director 312-403-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198001289) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |