Organization
ACUBALANCE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIANN M DOMAGALSKI L.AC. (CO-OWNER)
(773) 775-4257
Entity
Organization
Contact information
Practice address
6015 N NINA AVE, CHICAGO, IL 60631-2411
(773) 775-4257
(773) 775-4845
Mailing address
6015 N NINA AVE, CHICAGO, IL 60631-2411
(773) 775-4257
(773) 775-4845
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198-000837
IL
173C00000X
Reflexologist
NA
IL
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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