Organization
TAKACAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAKAKO TAKAYANAGI LAC (OWNER/LICENSED ACUPUNCTURIST)
(312) 307-1321
Entity
Organization
Contact information
Practice address
118 N CLINTON ST, STE 100-14, CHICAGO, IL 60661-2386
(312) 473-6521
Mailing address
2864 S QUINN ST, ATP 2F, CHICAGO, IL 60608-5921
(312) 307-1321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000463
IL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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