Individual
TATYANA SHAFIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803A N HARLEM AVE STE 2S, OAK PARK, IL 60302-1600
(708) 320-9442
Mailing address
803A N HARLEM AVE STE 2S, OAK PARK, IL 60302-1600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000541
IL
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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