Organization
ANCIENT HEALING ORIENTAL MEDICINE CLINIC S.C.
Active
Other names
Ancient Healing OMC s.c.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WIOLETTA BORECKA-KOLCAN MD, OMD, L.AC. (PRESIDENT)
(773) 562-0734
Entity
Organization
Contact information
Practice address
987 OAK KNOLL DR., LAKE FOREST, IL 60045-2635
(847) 735-9609
(847) 235-2439
Mailing address
987 OAK KNOLL DR, LAKE FOREST, IL 60045-2635
(847) 735-9609
(847) 235-2439
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
03801172
IL
261Q00000X
Clinic/Center
Primary
198.000814
IL
261Q00000X
Clinic/Center
198000814
IL
Other
Enumeration date
06/11/2009
Last updated
01/25/2011
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