Individual
MR. JONATHAN WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
326 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-2819
(847) 281-9999
(847) 281-9998
Mailing address
646 W ARMITAGE AVE, ELMHURST, IL 60126-2139
(708) 275-8389
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000703
IL
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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