Individual
PENNY WILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17929 SACRAMENTO AVE, HOMEWOOD, IL 60430-1417
(708) 647-1906
Mailing address
17929 SACRAMENTO AVE, HOMEWOOD, IL 60430-1417
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000546
IL
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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