Healthcare Provider Details

I. General information

NPI: 1164380127
Provider Name (Legal Business Name): THE ELROMA . INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 MILWAUKEE AVE
GLENVIEW IL
60025-3710
US

IV. Provider business mailing address

950 MILWAUKEE AVE STE 303
GLENVIEW IL
60025-3771
US

V. Phone/Fax

Practice location:
  • Phone: 224-260-7143
  • Fax:
Mailing address:
  • Phone: 224-260-7143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JUYOUNG PARK
Title or Position: OWNER
Credential:
Phone: 504-261-0168