Demetrios Bobolos, LAC

NPI #1851701668 in La Grange, Illinois

Provider Information

NPI Number: 1851701668
Entity Type: Individual
Name: Demetrios Bobolos, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: May 1, 2014
Last Updated: May 1, 2014

Practice Location

Address: 512 W BURLINGTON AVE
Address 2: SUITE 104
City: La Grange
State: Illinois
ZIP Code: 60525-2221
Phone: (708) 469-7592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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