Organization
ALTERNATIVE HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY IN JAE SUH DAOM, L. AC. (MANAGING MEMBER)
(773) 227-9150
Entity
Organization
Contact information
Practice address
2209 W NORTH AVE, CHICAGO, IL 60647
(773) 227-9150
(773) 227-9160
Mailing address
2209 W NORTH AVE, CHICAGO, IL 60647-6084
(773) 227-9150
(773) 227-9160
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
171100000X
Acupuncturist
Primary
198.000610
IL
225100000X
Physical Therapist
070.016665
IL
225700000X
Massage Therapist
227.008514
IL
Other
Enumeration date
12/11/2006
Last updated
03/30/2023
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