Organization
ANCIENT ROOTS ACUPUNCTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON K MCMAHON LAC (MANAGER / OWNER)
(815) 693-0810
Entity
Organization
Contact information
Practice address
10850 W LARAWAY RD STE 3W, FRANKFORT, IL 60423-6400
(815) 693-0810
Mailing address
10850 W LARAWAY RD STE 3W, FRANKFORT, IL 60423-6400
(815) 693-0810
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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