Individual
MS. VIRGINIA S BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
6142 ROOSEVELT RD, SUITE 103, OAK PARK, IL 60304-2311
(847) 630-3968
Mailing address
1510 W JACKSON BLVD, CHICAGO, IL 60607-5319
(312) 666-4600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000480
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198000480
STATE LICENSE
IL
Enumeration date
09/27/2007
Last updated
05/05/2014
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