Individual
MS. MAVIS A. BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
412 N LAKE ST, AURORA, IL 60506-4106
(630) 605-9244
(630) 892-2535
Mailing address
412 N LAKE ST, AURORA, IL 60506-4106
(630) 605-9244
(630) 892-2535
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198-000596
IL
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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