Ancient Healing Oriental Medicine Clinic S.c.
NPI #1306073747 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1306073747
- Entity Type
- Organization
- Organization Name
- Ancient Healing Oriental Medicine Clinic S.c.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 11, 2009
- Last Updated
- Jan 25, 2011
Practice Location
- Address
- 987 OAK KNOLL DR.
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-2635
- Phone
- (847) 735-9609
Authorized Official
- Name
- MRS. WIOLETTA BORECKA-KOLCAN, MD, OMD, L.AC.
- Title
- PRESIDENT
- Phone
- (773) 562-0734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Chiropractor |
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