MEDICARE: MS. LEONORA INES SANCHEZ L.AC.

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	198.000910	IL

General Provider Information

NPI Number	:	1316268170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LEONORA INES SANCHEZ L.AC.

Provider Business Mailing Address
First Line	:	238 W CERMAK RD
Second Line	:	3RD FL, UNIT D
City	:	CHICAGO
State	:	IL
Zip	:	60616-2972
Country	:	US
Telephone Number	:	312-515-5369
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 W CERMAK RD
Second Line	:	3RD FL, UNIT D
City	:	CHICAGO
State	:	IL
Zip	:	60616-2972
Country	:	US
Telephone Number	:	312-515-5369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	06/16/2010

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