Individual
LIJANA SHESTOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSOM
Contact information
Practice address
514 N WESTERN AVE STE B, LAKE FOREST, IL 60045-5319
(847) 721-2548
Mailing address
514 N WESTERN AVE STE B, LAKE FOREST, IL 60045-5319
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001452
IL
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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