Individual
MS. ELIZABETH KETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
79 E 16TH ST, CHICAGO, IL 60616-5520
(312) 842-1229
Mailing address
79 E 16TH ST, CHICAGO, IL 60616-5520
(312) 842-1229
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001201
IL
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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