Organization
DONGWON ACUPUNCTURE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KIM (LICENSED ACUPUNCTURIST)
(224) 938-9521
Entity
Organization
Contact information
Practice address
1600 W DEMPSTER ST, 204, PARK RIDGE, IL 60068-1109
(224) 938-9521
(224) 938-9522
Mailing address
1600 W DEMPSTER ST, 204, PARK RIDGE, IL 60068-1109
(224) 938-9521
(224) 938-9522
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
198.000803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
IL
Enumeration date
07/11/2012
Last updated
07/11/2012
Update your record
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