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Organization

BRIDGE TO HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEJLA FAZLICIC ACUPUNCTURIST (OWNER/FOUNDER/ ACUPUNCTURIST)
(847) 983-0136
Entity
Organization

Contact information

Practice address
4751 W TOUHY AVE, 304, LINCOLNWOOD, IL 60712-1654
(847) 983-0136
Mailing address
4751 W TOUHY AVE, 304, LINCOLNWOOD, IL 60712-1654
(847) 983-0136

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000990
IL

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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