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Organization

BIODYNAMIC HEALTH SYSTEM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SAMANTHA LOTTI (ACUPUNCTURIST)
(773) 789-7143
Entity
Organization

Contact information

Practice address
137 N OAK PARK AVE, 101E, OAK PARK, IL 60301-1344
(773) 789-7143
Mailing address
137 N OAK PARK AVE, 101E, OAK PARK, IL 60301-1344
(773) 789-7143

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001246
IL

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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