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Donna Weisensel, DACM, LAc, LMT

Acupuncturist in Island Lake, IL. Individual provider (NPI-1).

NPI number1164033361
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1164033361
Entity type
Individual (NPI-1)
Name
Donna Weisensel
Credential
DACM, LAc, LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 11, 2020
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist198.001476ILYes
171100000X Acupuncturist994-55WI
225700000X Massage Therapist227.016803IL

Practice location

4708 Southhampton Dr
Island Lake, IL 60042-8470

Phone 847-769-1575

Mailing address

4708 Southhampton Dr
Island Lake, IL 60042-8470

Phone 847-769-1575

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