=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588899371
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARA CHRISTINE CANGA-ARGUELLES L.AC., M.S.O.M.,B.S.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2009
-----------------------------------------------------
Last Update Date | 05/21/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 60 TURNER AVE 2ND FLR.
-----------------------------------------------------
City | ELK GROVE VILLAGE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60007-3956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-357-3929
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 TURNER AVE 2ND FLR.
-----------------------------------------------------
City | ELK GROVE VILLAGE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60007-3956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-357-3929
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 198000829
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------