MEDICARE: ANDREA HINGST L.AC. DIPL.O.M.

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	198.001078	IL

General Provider Information

NPI Number	:	1801225453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA HINGST L.AC. DIPL.O.M.

Provider Business Mailing Address
First Line	:	316 LAKE ST
Second Line	:	UNIT 2F
City	:	OAK PARK
State	:	IL
Zip	:	60302-2617
Country	:	US
Telephone Number	:	810-348-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 E LAKE ST
Second Line	:	SUITE 1115
City	:	CHICAGO
State	:	IL
Zip	:	60601-5959
Country	:	US
Telephone Number	:	312-496-3471
Fax Number	:

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

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	11/04/2013

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Directions to “ ANDREA HINGST L.AC. DIPL.O.M.” Practice Location

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