Longevity Acupuncture & Herbal Clinic Llc.

NPI #1861871063 in Waukegan, Illinois

Provider Information

NPI Number: 1861871063
Entity Type: Organization
Organization Name: Longevity Acupuncture & Herbal Clinic Llc.
Primary Specialty: Acupuncturist
Enumeration Date: May 21, 2015
Last Updated: Nov 26, 2018

Practice Location

Address: 1147 N GREEN BAY RD
City: Waukegan
State: Illinois
ZIP Code: 60085
Phone: (847) 672-4801

Authorized Official

Name: HARRY CHONG
Title: PRESIDENT
Phone: (847) 672-4801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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