Richard Maddox, LAC

NPI #1528664638 in Bolingbrook, Illinois

Provider Information

NPI Number: 1528664638
Entity Type: Individual
Name: Richard Maddox, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Dec 5, 2020
Last Updated: Dec 5, 2020

Practice Location

Address: 320 OTTAWA DR
City: Bolingbrook
State: Illinois
ZIP Code: 60440-1888
Phone: (313) 720-4139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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