Individual
HARRY CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L AC.
Contact information
Practice address
1147 N GREEN BAY RD, WAUKEGAN, IL 60085-2243
(847) 672-4801
Mailing address
1147 N GREEN BAY RD, WAUKEGAN, IL 60085-2243
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001130
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152423
NCCAOM
—
Enumeration date
01/09/2014
Last updated
11/15/2018
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