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General NPI Number Information
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NPI Number | 1396604070
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Entity Type | Organization
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Legal Business Name | COURAGEOUS HEART ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1757 N KIMBALL AVE STE 109
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City | CHICAGO
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State | IL
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Zip | 60647-4805
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Country | US
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Telephone | 773-312-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CHATHAM RD STE N
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 773-312-6682
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELEANOR FOLEY
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Credential | LAC
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Telephone | 773-312-6682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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