Individual
JULIENNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
451 W HURON ST, UNIT 609, CHICAGO, IL 60654-4567
(732) 895-5216
Mailing address
451 W HURON ST, UNIT 609, CHICAGO, IL 60654-4567
(732) 895-5216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001247
IL
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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