Organization
LESLEY M. HEIDRICH ACUPUNCTURE, LLC TM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY M. HEIDRICH LAC, CMLDT (ACUPUNCTURIST)
(773) 295-7319
Entity
Organization
Contact information
Practice address
6374 N LINCOLN AVE, SUITE 305, CHICAGO, IL 60659-1275
(773) 295-7319
(773) 857-2415
Mailing address
2140 W IRVING PARK RD, #1, CHICAGO, IL 60618-3924
(773) 857-2415
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001097
IL
Other
Enumeration date
07/19/2013
Last updated
05/28/2014
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