Individual
KEVIN TANGEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
11 E WILSON ST, BATAVIA, IL 60510-2656
(630) 326-9285
Mailing address
2692 VILLAGE GREEN DR APT C2, AURORA, IL 60504-4246
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001410
IL
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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