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Individual

MICHAEL OLIPHANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
4770 N LINCOLN AVE STE 212, CHICAGO, IL 60625-2092
(312) 869-9654
Mailing address
4770 N LINCOLN AVE STE 212, CHICAGO, IL 60625-2092
(312) 869-9654

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000983
IL

Other

Enumeration date
05/17/2012
Last updated
04/26/2023
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