Organization
ESSENTIAL ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE ROBERTSON LAC, DIPLAC (OWNER)
(708) 386-5630
Entity
Organization
Contact information
Practice address
1101 LAKE ST, SUITE 300, OAK PARK, IL 60301-1085
(708) 386-5630
(708) 386-5645
Mailing address
1101 LAKE ST, SUITE 300, OAK PARK, IL 60301-1085
(708) 386-5630
(708) 386-5645
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000931
IL
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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