Five Phase Wellness Center, LLC

NPI #1265726178 in Evanston, Illinois

Provider Information

NPI Number
1265726178
Entity Type
Organization
Organization Name
Five Phase Wellness Center, LLC
Primary Specialty
Acupuncturist
Enumeration Date
Jun 8, 2011
Last Updated
Jun 8, 2011

Practice Location

Address
708 MAIN ST
ZIP Code
60202-1702
Phone
(847) 905-0440

Authorized Official

Name
DR. RYAN LOMBARDO, DAOM
Title
WELLNESS DIRECTOR
Phone
(847) 905-0440

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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