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Organization

LOGAN SQUARE ACUPUNCTURE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY A SULLIVAN MSTCM (OWNER, L.AC.)
(773) 573-2828
Entity
Organization

Contact information

Practice address
3600 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1138
(773) 292-2972
Mailing address
3600 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1138
(773) 573-2828

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
11/21/2023
Last updated
11/21/2023
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