Healthcare Provider Details

I. General information

NPI: 1114830791
Provider Name (Legal Business Name): TIGER FLOWER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3817 N PULASKI RD
CHICAGO IL
60641-3141
US

IV. Provider business mailing address

3909 N SPAULDING AVE APT 2
CHICAGO IL
60618-3322
US

V. Phone/Fax

Practice location:
  • Phone: 773-234-3742
  • Fax:
Mailing address:
  • Phone: 872-203-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: TERRI PEASLEE
Title or Position: OWNER
Credential: LAC
Phone: 872-203-2255