Individual
DR. MISHA JOSEF PAYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., D.AC
Contact information
Practice address
356 W SUPERIOR ST, CHICAGO, IL 60654-3416
(773) 746-9933
Mailing address
627 W PATTERSON AVE, 1-E, CHICAGO, IL 60613-4470
(773) 746-9933
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000961
IL
171100000X
Acupuncturist
DA00369
RI
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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