Organization
ELLEE CARLSON L.AC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH L CARLSON L AC. (ORGANIZER/ACUPUNCTURIST)
(773) 386-5843
Entity
Organization
Contact information
Practice address
6015 N CICERO AVE, CHICAGO, IL 60646-4301
(773) 545-9379
Mailing address
4914 W BALMORAL AVE, CHICAGO, IL 60630-1506
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000965
IL
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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