Individual
MICHELLE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1001 W 15TH ST UNIT 135, CHICAGO, IL 60608-2762
(773) 556-5942
Mailing address
1001 W 15TH ST UNIT 135, CHICAGO, IL 60608-2762
(773) 556-5942
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001611
IL
Other
Enumeration date
10/13/2022
Last updated
10/16/2022
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