Organization
EASTLAND INC.
Active
Other names
Eastland Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEVGENY ZAKUSILO L.AC, DOM (PRESIDENT)
(773) 271-2991
Entity
Organization
Contact information
Practice address
4856 N DAMEN AVE, STE 1, CHICAGO, IL 60625-1995
(773) 271-2991
(773) 271-2996
Mailing address
4856 N DAMEN AVE, STE 1, CHICAGO, IL 60625-1995
(773) 271-2991
(773) 271-2996
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1578841
IL
Other
Enumeration date
11/06/2008
Last updated
01/26/2016
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