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Ancient Healing Oriental Medicine Clinic S.c.
Clinic/Center in Lake Forest, Illinois
NPI 1306073747

Ancient Healing Oriental Medicine Clinic S.c. is a Clinic/Center based in Lake Forest, IL. Ancient Healing Oriental Medicine Clinic S.c. practices in Lake Forest, IL. The NPI Number for Ancient Healing Oriental Medicine Clinic S.c. is 1306073747 and holds a License No. 03801172 (Illinois).

The current practice location address for Ancient Healing Oriental Medicine Clinic S.c. is 987 Oak Knoll Dr., Lake Forest, IL and can be reached out via phone at 847-735-9609 and via fax at 847-235-2439.

Location: 987 Oak Knoll Dr., Lake Forest, IL, 60045-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306073747
Provider Name
Ancient Healing Oriental Medicine Clinic S.c.
Credential
Provider Entity Type
Organization
Address
987 Oak Knoll Dr., Lake Forest, IL, 60045-2635
Phone Number
847-735-9609
Fax Number
847-235-2439
Provider Enumeration Date
06/11/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
987 Oak Knoll Dr.
City
Lake Forest
State
Illinois
Zip
60045-2635
Phone Number
847-735-9609
Fax Number
847-235-2439
person
Provider Business Mailing Address Details
Address
987 Oak Knoll Dr.
City
Lake Forest
State
Illinois
Zip
60045-2635
Phone Number
847-735-9609
Fax Number
847-235-2439
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
198000814 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
03801172 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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