MEDICARE: ADVANCED ACUPUNCTURE CLINIC LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	198.000119	IL

General Provider Information

NPI Number	:	1083956262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ACUPUNCTURE CLINIC LTD.

Provider Business Mailing Address
First Line	:	2110 BRANDYWYN LN
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-6691
Country	:	US
Telephone Number	:	847-478-5480
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 E GOLF RD
Second Line	:	SUIT 2135
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-5222
Country	:	US
Telephone Number	:	847-840-3693
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PROF. LIN CHEN
Credential	:	L.AC
Telephone Number	:	847-840-3693

Provider Enumeration Date	:	03/26/2013
Last Update Date	:	03/26/2013

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