Olivia Banifazl
NPI #1841047248 in River Grove, Illinois
Provider Information
- NPI Number
- 1841047248
- Entity Type
- Individual
- Name
- Olivia Banifazl
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Enumeration Date
- May 2, 2024
- Last Updated
- May 2, 2024
Practice Location
- Address
- 2522 FOREST VIEW AVE
- City
- River Grove
- State
- Illinois
- ZIP Code
- 60171-1602
- Phone
- (312) 813-4465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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