MEDICARE: ACUPUNCTURE HEALING CENTER INC.

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	111N00000X	Chiropractor		IL
2	171100000X	Acupuncturist		IL

General Provider Information

NPI Number	:	1598209884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUPUNCTURE HEALING CENTER INC.

Provider Business Mailing Address
First Line	:	239 W CERMAK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-1913
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 W CERMAK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-1913
Country	:	US
Telephone Number	:	312-889-1239
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YUGE HUANG
Credential	:
Telephone Number	:	312-927-6693

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	04/10/2020

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