| Red Aspen Inc. | |
|
512 W Burlington Ave, Ste. 104, La Grange, IL 60525-2221 | |
| (708) 288-2696 | |
| Not Available |
| Full Name | Red Aspen Inc. |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 512 W Burlington Ave, La Grange, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649698267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 198.000100 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Red Aspen Inc. 512 W Burlington Ave, Ste. 104, La Grange, IL 60525-2221 Ph: () - | Red Aspen Inc. 512 W Burlington Ave, Ste. 104, La Grange, IL 60525-2221 Ph: (708) 288-2696 |
James Christian Zotti, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave, Suite 104, La Grange, IL 60525 Phone: 708-469-7592 Fax: 708-469-7897 | |
Demetrios Bobolos, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 512 W Burlington Ave, Suite 104, La Grange, IL 60525 Phone: 708-469-7592 |