Individual
MRS. PETRA FOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1641 N MILWAUKEE AVE, #9, LIBERTYVILLE, IL 60048-1350
(847) 971-9393
(847) 929-9568
Mailing address
1641 N MILWAUKEE AVE, #9, LIBERTYVILLE, IL 60048-1350
(847) 971-9393
(847) 929-9568
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000516
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700185741
NPI FOR GROUP HEALTHY BODY HEALTHY MIND, INC.
IL
Enumeration date
06/04/2012
Last updated
06/05/2012
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