Individual
MISS LESLEY M. HEIDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, CMLDT, RT(T)
Contact information
Practice address
6374 N LINCOLN AVE, SUITE 305, CHICAGO, IL 60659-1275
(773) 295-7319
Mailing address
2140 W IRVING PARK RD, #1, CHICAGO, IL 60618-3924
(773) 295-7319
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001097
IL
Other
Enumeration date
06/25/2013
Last updated
05/28/2014
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