Healthcare Provider Details

I. General information

NPI: 1346838356
Provider Name (Legal Business Name): JOSLYNN ADAMS ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34121 N US HIGHWAY 45 STE 218
GAGES LAKE IL
60030-1774
US

IV. Provider business mailing address

34121 N US HIGHWAY 45 STE 218
GAGES LAKE IL
60030-1774
US

V. Phone/Fax

Practice location:
  • Phone: 773-733-6246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSLYNN ADAMS
Title or Position: OWNER, ACUPUNCTURIST
Credential: L.AC
Phone: 773-733-6246