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Individual

DR. REBECCA HAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, LAC

Contact information

Practice address
4700 WEST 95TH STREET, LL6, OAK LAWN, IL 60453
(708) 422-7600
Mailing address
4700 WEST 95TH STREET, LL6, OAK LAWN, IL 60453
(708) 422-7600

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001408
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
198.001408
IL STATE LICENSE PROVIDER NUMBER
IL
Enumeration date
12/03/2020
Last updated
12/03/2020
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