Individual
IRENE MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4361 N LINCOLN AVE, UNIT 5, CHICAGO, IL 60618-1741
(312) 610-9757
Mailing address
4361 N LINCOLN AVE, UNIT 5, CHICAGO, IL 60618-1741
(312) 610-9757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010963
IL
Other
Enumeration date
04/06/2010
Last updated
02/26/2016
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