Individual
AMANDA JEAN DOBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1630 W DIVISION ST, CHICAGO, IL 60622-3808
(773) 276-2801
Mailing address
2024 S ALLPORT ST APT 1R, CHICAGO, IL 60608-3292
(217) 836-0371
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198.001453
IDFPR: ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
02/27/2019
Last updated
02/27/2019
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