Individual
ALTHEA M NORTHAGE-ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, AHG, L.AC., CST
Contact information
Practice address
1622 W DEVON AVE, CHICAGO, IL 60660-1214
(773) 764-0960
Mailing address
1622 W DEVON AVE, CHICAGO, IL 60660-1214
(773) 764-0960
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000302
IL
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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