Organization
LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY CHONG (PRESIDENT)
(847) 672-4801
Entity
Organization
Contact information
Practice address
1147 N GREEN BAY RD, WAUKEGAN, IL 60085
(847) 672-4801
Mailing address
1147 N GREEN BAY RD, WAUKEGAN, IL 60085-2243
(847) 672-4801
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152423
NCCAOM
—
01
—
198001130
171100000X
IL
Enumeration date
05/21/2015
Last updated
11/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us