Organization
BIODYNAMIC HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LOTTI L.AC., BCST (ACUPUNCTURE, CRANIOSACRAL, HERBS)
(773) 789-7143
Entity
Organization
Contact information
Practice address
4633 N WESTERN AVE, CHICAGO, IL 60625-2181
(773) 789-7143
Mailing address
4605 N CLAREMONT AVE, CHICAGO, IL 60625-2014
(773) 789-7143
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001246
IL
Other
Enumeration date
05/18/2015
Last updated
05/22/2015
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