NPI 1265726178

Five Phase Wellness Center, LLC

Organisation Acupuncturist Evanston, IL

Practice location

Address: 708 Main St, Evanston, IL 60202-1702
Phone: (847) 905-0440

Authorised official

Name: Ryan Lombardo
Title: Wellness Director
Phone: (847) 905-0440

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 198000495 (IL)

Other Acupuncturist providers in Illinois →

Registry record

NPI: 1265726178
Entity type: Organization
NPI issued: 8 Jun 2011
Record last updated: 8 Jun 2011

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.