Individual
MRS. IVY A. KWIELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, L.AC., DIPL.AC
Contact information
Practice address
1920 WAUKEGAN RD, SUITE 7, GLENVIEW, IL 60025-1717
(847) 363-7119
(847) 724-1957
Mailing address
1920 WAUKEGAN RD, SUITE 7, GLENVIEW, IL 60025-1717
(847) 363-7119
(847) 724-1957
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000888
IL
Other
Enumeration date
05/02/2010
Last updated
05/02/2010
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