MEDICARE: MS. HILLARY ELIZABETH CATROW MSOM, L.AC.

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	198.001199	IL

General Provider Information

NPI Number	:	1295138493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HILLARY ELIZABETH CATROW MSOM, L.AC.

Provider Business Mailing Address
First Line	:	5655 N WAYNE AVE # 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-5543
Country	:	US
Telephone Number	:	773-917-7845
Fax Number	:

Provider Business Practice Location Address
First Line	:	5756 N RIDGE AVE
Second Line	:	SUITE 5
City	:	CHICAGO
State	:	IL
Zip	:	60660-5331
Country	:	US
Telephone Number	:	773-917-7845
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2014
Last Update Date	:	06/18/2015

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