Organization
JADE DRAGON ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENI USWAJESDAKUL LAC (OWNER)
(312) 870-0512
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE STE 305, CHICAGO, IL 60646-5726
(312) 870-0512
Mailing address
4801 W PETERSON AVE STE 305, CHICAGO, IL 60646-5726
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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