MRS. Ivy A. Kwielford, MSOM, L.AC., DIPL.AC

NPI #1407173313 in Glenview, Illinois

Provider Information

NPI Number
1407173313
Entity Type
Individual
Name
MRS. Ivy A. Kwielford, MSOM, L.AC., DIPL.AC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Acupuncturist
Credential
MSOM, L.AC., DIPL.AC
Enumeration Date
May 2, 2010
Last Updated
May 2, 2010

Practice Location

Address
1920 WAUKEGAN RD
Address 2
SUITE 7
ZIP Code
60025-1717
Phone
(847) 363-7119

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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