Organization · NPI-2

Acubalance Wellness Center, LLC

Acupuncturist · Chicago, IL

NPI number1366778730
StatusActive
Last updated in NPPESOct 20, 2009

Details

NPI
1366778730
Entity type
Organization (NPI-2)
Legal business name
Acubalance Wellness Center, LLC
Organization subpart
No
Enumeration date
Oct 20, 2009
Last updated
Oct 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist198-000837ILYes
173C00000X ReflexologistNAIL

Practice location

6015 N Nina Ave
Chicago, IL 60631-2411

Phone 773-775-4257 · Fax 773-775-4845

Mailing address

6015 N Nina Ave
Chicago, IL 60631-2411

Phone 773-775-4257 · Fax 773-775-4845

Authorized official

Juliann M Domagalski
Co-Owner
7737754257

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