Individual
MS. JANA BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 N WESTERN AVE, SUITE B, LAKE FOREST, IL 60045-1989
(847) 989-7176
Mailing address
514 N WESTERN AVE, SUITE B, LAKE FOREST, IL 60045-1989
(847) 989-7176
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
NONE
—
Enumeration date
11/18/2016
Last updated
11/18/2016
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