Individual
JERI PETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L,.AC.
Contact information
Practice address
725 S LODGE LN, LOMBARD, IL 60148-3642
(630) 400-0185
Mailing address
725 S LODGE LN, LOMBARD, IL 60148-3642
(630) 400-0185
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000755
IL
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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