Individual
ELAINE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
2437 S OAKLEY AVE, APR 2RG, CHICAGO, IL 60608-4917
(312) 208-4054
Mailing address
2437 S OAKLEY AVE, APR 2RG, CHICAGO, IL 60608-4917
(312) 208-4054
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000795
IL
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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