MEDICARE: BEIJING ACUPUNCTURE PAIN AND REHABILITATION, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	198000330	IL

General Provider Information

NPI Number	:	1255668877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEIJING ACUPUNCTURE PAIN AND REHABILITATION, INC

Provider Business Mailing Address
First Line	:	1245 N. MILWAUKEE AVE
Second Line	:	SUITE 306
City	:	GLENVIEW
State	:	IL
Zip	:	60025
Country	:	US
Telephone Number	:	847-635-6080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 N. MILWAUKEE AVE
Second Line	:	SUITE 306
City	:	GLENVIEW
State	:	IL
Zip	:	60025
Country	:	US
Telephone Number	:	847-635-6080
Fax Number	:

Authorized Official
Title or Position	:	AGENT
Name	:	JIN SHU LI
Credential	:
Telephone Number	:	847-635-6080

Provider Enumeration Date	:	11/04/2009
Last Update Date	:	11/06/2009

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