Individual
KELLY LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSOM
Contact information
Practice address
150 E HURON ST STE 1100, CHICAGO, IL 60611-2948
(312) 926-3627
(312) 926-5444
Mailing address
150 E HURON ST STE 1100, CHICAGO, IL 60611-2948
(312) 926-3627
(312) 926-5444
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000918
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51-0453798
PULLING DOWN THE MOON
IL
Enumeration date
01/16/2018
Last updated
07/12/2024
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