NPI 1043085855

Logan Square Acupuncture, LLC

Organisation Acupuncturist Chicago, IL

Practice location

Address: 3600 W Wrightwood Ave, Chicago, IL 60647-1138
Phone: (773) 292-2972

Authorised official

Name: Kimberly a Sullivan
Title: Owner, L.Ac.
Phone: (773) 573-2828

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X

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Registry record

NPI: 1043085855
Entity type: Organization
NPI issued: 21 Nov 2023
Record last updated: 21 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.