Healthcare Provider Details

I. General information

NPI: 1609957810
Provider Name (Legal Business Name): CHICAGO FIRST CHINESE ACUPUNCTURE & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2159 S CHINA PL FL 2 SUITE B
CHICAGO IL
60616-1536
US

IV. Provider business mailing address

1098 S. MILWAUKEE AVE SUITE 107B
WHEELING IL
60090-6377
US

V. Phone/Fax

Practice location:
  • Phone: 312-674-1988
  • Fax: 312-674-1988
Mailing address:
  • Phone: 847-297-6883
  • Fax: 847-297-6885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. WEN XUAN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 312-674-1988