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Individual

DONNA WEISENSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DACM, LAC, LMT

Contact information

Practice address
4708 SOUTHHAMPTON DR, ISLAND LAKE, IL 60042-8470
(847) 769-1575
Mailing address
4708 SOUTHHAMPTON DR, ISLAND LAKE, IL 60042-8470
(847) 769-1575

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001476
IL
171100000X
Acupuncturist
994-55
WI
225700000X
Massage Therapist
227.016803
IL

Other

Enumeration date
08/11/2020
Last updated
08/11/2020
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