MEDICARE: MARY PATRICIA FINLEY 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		IL

General Provider Information

NPI Number	:	1831390442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY PATRICIA FINLEY L.AC.

Provider Business Mailing Address
First Line	:	5822 N GLENWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-3440
Country	:	US
Telephone Number	:	773-848-8622
Fax Number	:

Provider Business Practice Location Address
First Line	:	2105 N SOUTHPORT AVE
Second Line	:	SUITE 203
City	:	CHICAGO
State	:	IL
Zip	:	60614-4069
Country	:	US
Telephone Number	:	773-848-8622
Fax Number	:

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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