Individual
KYLE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
639 W DIVERSEY PKWY, 212, CHICAGO, IL 60614-1501
(773) 888-2566
Mailing address
639 W DIVERSEY PKWY, 212, CHICAGO, IL 60614-1501
(773) 888-2566
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001037
IL
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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