Healthcare Provider Details
I. General information
NPI: 1093626780
Provider Name (Legal Business Name): HERB STONE WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 S WENTWORTH AVE
CHICAGO IL
60616-2012
US
IV. Provider business mailing address
2200 S WENTWORTH AVE
CHICAGO IL
60616-2012
US
V. Phone/Fax
- Phone: 312-998-2899
- Fax:
- Phone: 312-998-2899
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
YUGE
HUANG
Title or Position: OWNER
Credential:
Phone: 312-927-6693