Individual
ROZA KOSTADINOVA AZMANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1400 RENAISSANCE DR, SUITE 102, PARK RIDGE, IL 60068-1329
(224) 381-6319
Mailing address
1735 WICKE AVE, DES PLAINES, IL 60018-1716
(224) 381-6319
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000872
IL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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