Organization
GREEN WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYUN SOOK KIM (ACUPUNCTURIST)
(847) 971-5129
Entity
Organization
Contact information
Practice address
342 E GOLF RD, ARLINGTON HTS, IL 60005-4008
(847) 427-5678
Mailing address
342 E GOLF RD, ARLINGTON HTS, IL 60005-4008
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198000739
LICENSE
IL
Enumeration date
06/16/2010
Last updated
06/16/2010
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