Healthcare Provider Details

I. General information

NPI: 1730224270
Provider Name (Legal Business Name): EAST POINT ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 E 53RD ST SUITE 705
CHICAGO IL
60615-4557
US

IV. Provider business mailing address

1525 E 53RD ST SUITE 705
CHICAGO IL
60615-4557
US

V. Phone/Fax

Practice location:
  • Phone: 773-955-9643
  • Fax: 773-955-1470
Mailing address:
  • Phone: 773-955-9643
  • Fax: 773-955-1470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MARY J ROGEL
Title or Position: LICENSED ACUPUNCTURIST
Credential: PH.D., L.AC.
Phone: 773-955-9643