Individual
TRACIE HINTON-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC., DIPLO.OM.
Contact information
Practice address
5215 N RAVENSWOOD AVE, SUITE 105, CHICAGO, IL 60640-1668
(773) 878-7330
(773) 878-2338
Mailing address
5215 N RAVENSWOOD AVE, SUITE 105, CHICAGO, IL 60640-1668
(773) 878-7330
(773) 878-2338
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000869
IL
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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