Individual
ALEXANDRA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MSTOM
Contact information
Practice address
4447 N HAMLIN AVE, #3, CHICAGO, IL 60625-5940
(773) 628-3622
Mailing address
4447 N HAMLIN AVE, #3, CHICAGO, IL 60625-5940
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
189.001185
IL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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