Individual
TERRI CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSOM
Contact information
Practice address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
(847) 491-1122
(847) 570-6083
Mailing address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
(847) 491-1122
(847) 570-6083
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198-000240
IL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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