Individual
LANA MOSHKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1500 SHERMER RD STE LL29, NORTHBROOK, IL 60062
(847) 715-9044
(847) 564-2100
Mailing address
905 TAMER LN, GLENVIEW, IL 60025-3768
(847) 508-1470
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001239
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198001239
LICENSE
IL
Enumeration date
11/07/2014
Last updated
08/13/2018
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