NPI 1023332053

Traci Kostak-Jacobson, LAC

Practitioner Acupuncturist Buffalo Grove, IL

Practice location

Address: 1005 Parker Ln, Buffalo Grove, IL 60089-1338
Phone: (312) 339-5058

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 198.000692 (IL)

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Registry record

NPI: 1023332053
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2010
Record last updated: 19 Mar 2010

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.