Individual
MR. BRENDAN ERIK MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
4214 N ASHLAND AVE # 2, CHICAGO, IL 60613-1202
(773) 301-1398
(773) 477-4109
Mailing address
4214 N ASHLAND AVE # 2, CHICAGO, IL 60613-1202
(773) 301-1398
(773) 477-4109
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001059
IL
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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