Individual
MS. ANDREA SHIU LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC, DIPL. OM, RN
Contact information
Practice address
15252 W 143RD ST, HOMER GLEN, IL 60491-8553
(708) 740-0279
Mailing address
15252 W. 143RD STREET, HOMER GLEN, IL 60491-8553
(708) 740-0279
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000980
IL
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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