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Organization

NIRVANA NATUROPATHICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANA MOSHKOVICH (PRESIDENT)
(847) 508-1470
Entity
Organization

Contact information

Practice address
1500 SHERMER RD STE LL29, NORTHBROOK, IL 60062-5351
(847) 715-9044
Mailing address
905 TAMER LN, GLENVIEW, IL 60025-3768

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1740686492
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
198001239
LICENSE
IL
Enumeration date
12/09/2014
Last updated
04/07/2017
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