MEDICARE: ARICA MARX LAC

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	198001620	IL

General Provider Information

NPI Number	:	1801504717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARICA MARX LAC

Provider Business Mailing Address
First Line	:	1041 CHICAGO AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-4682
Country	:	US
Telephone Number	:	773-744-5620
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 CHICAGO AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-4682
Country	:	US
Telephone Number	:	773-744-5620
Fax Number	:

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

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	03/18/2025

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Directions to “ ARICA MARX LAC” Practice Location

Language	Start Address	Practice Location

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