Individual
CARLY IACULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1111 W MADISON ST STE 2, CHICAGO, IL 60607-2055
(773) 234-1042
Mailing address
121 W CHESTNUT ST APT 1308, CHICAGO, IL 60610-3155
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.011985
IL
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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