Individual
MS. TANUJA DEVI JAGERNAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC, MSTOM
Contact information
Practice address
1901 N CLYBOURN AVE, SUITE #304, CHICAGO, IL 60614-5090
(773) 749-9101
Mailing address
1901 N CLYBOURN AVE, SUITE #304, CHICAGO, IL 60614-5090
(773) 749-9101
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000771
IL
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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