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NPI Code Detail

MEDICARE: MARIE FRANCE COLLIN L.. AC.

MEDICARE: MARIE FRANCE COLLIN 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
1171100000XAcupuncturistIL

General Provider Information

NPI Number : 1861672388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE FRANCE COLLIN L.. AC.
Provider Business Mailing Address
First Line : 3646 N BROADWAY ST
Second Line : 2ND FLOOR
City : CHICAGO
State : IL
Zip : 60613-4418
Country : US
Telephone Number : 773-573-6953
Fax Number :
Provider Business Practice Location Address
First Line : 3646 N BROADWAY ST
Second Line : 2ND FLOOR
City : CHICAGO
State : IL
Zip : 60613-4418
Country : US
Telephone Number : 773-573-6953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 11/13/2007

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Directions to “ MARIE FRANCE COLLIN L.. AC.” Practice Location

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