Individual
MS. AMY A RUDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. ACUPUNCTURIST
Contact information
Practice address
1555 N ASTOR ST APT 5SE, CHICAGO, IL 60610-6712
(312) 944-6353
Mailing address
1555 N ASTOR ST APT 5SE, CHICAGO, IL 60610-6712
(312) 944-6353
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001545
IL
225700000X
Massage Therapist
227.019923
IN
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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