Individual
MR. TOWAYN HEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC., LMT
Contact information
Practice address
2018 S MICHIGAN AVE, CHICAGO, IL 60616
(312) 753-3249
Mailing address
7737 N EASTLAKE TER APT G, CHICAGO, IL 60626-1333
(872) 223-8250
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001360
IL
Other
Enumeration date
03/15/2019
Last updated
10/11/2019
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