Individual
MS. REVITAL PEREMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, MSOM
Contact information
Practice address
2112 W BELMONT AVE, CHICAGO, IL 60618-6405
(773) 880-9939
Mailing address
2112 W BELMONT AVE, CHICAGO, IL 60618-6405
(773) 880-9939
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001043
IL
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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