Organization
THRIVE INTEGRATIVE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA MACNEIL L.AC. (OWNER / ACUPUNCTURIST)
(630) 313-2332
Entity
Organization
Contact information
Practice address
175 JACKSON AVE, SUITE 235, NAPERVILLE, IL 60540-5321
(630) 313-2332
(630) 518-4883
Mailing address
175 JACKSON AVE, SUITE 235, NAPERVILLE, IL 60540-5321
(630) 313-2332
(630) 518-4883
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000819
IL
174400000X
Specialist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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