Individual
TINA CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
6416 W HIGGINS AVE, CHICAGO, IL 60656-2203
(773) 774-6771
Mailing address
2138 W MCLEAN AVE, CHICAGO, IL 60647-4525
(773) 317-9122
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000558
IL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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