Central Illinois Acupuncture, Inc.

NPI #1962711176 in Springfield, Illinois

Provider Information

NPI Number: 1962711176
Entity Type: Organization
Organization Name: Central Illinois Acupuncture, Inc.
Primary Specialty: Acupuncturist
Enumeration Date: Oct 5, 2010
Last Updated: Jun 18, 2012

Practice Location

Address: 313 ASTORIA RD
City: Springfield
State: Illinois
ZIP Code: 62704-1247
Phone: (217) 622-4845

Authorized Official

Name: TOBIAS D DONAKER, LAC
Title: CEO
Phone: (217) 622-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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