Individual
JULIE GAUDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSTOM
Contact information
Practice address
4650 N ROCKWELL ST, CHICAGO, IL 60625-2941
(773) 267-0248
Mailing address
4650 N ROCKWELL ST, CHICAGO, IL 60625-2941
(773) 267-0248
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000843
IL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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