Organization
SOURCE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE JORDAN (CLINIC DIRECTOR)
(312) 335-9330
Entity
Organization
Contact information
Practice address
650 N DEARBORN ST STE 800, CHICAGO, IL 60654-3874
(312) 335-9330
Mailing address
650 N DEARBORN ST STE 800, CHICAGO, IL 60654-3874
(312) 335-9330
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198-000696
IL
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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