Individual
KIM CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1840 OAK AVE, EVANSTON, IL 60201-3642
(773) 307-9128
Mailing address
7524 N ROGERS AVE, CHICAGO, IL 60626-1710
(773) 307-9128
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000926
IL
Other
Enumeration date
03/23/2013
Last updated
03/23/2013
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