| NPI | 1952725558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA QUINN Co Owner 312-321-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-05-19 |