Individual
JILL JELINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
4060 N MAIN ST, SUITE 106, RACINE, WI 53402-3121
(262) 635-0525
Mailing address
5224 HUNT CLUB RD, RACINE, WI 53402-2335
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
526-055
WI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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