| Ancient Healing Oriental Medicine Clinic S.c. | |
|
987 Oak Knoll Dr. Lake Forest IL 60045-2635 | |
| (847) 735-9609 | |
| (847) 235-2439 |
| Full Name | Ancient Healing Oriental Medicine Clinic S.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 987 Oak Knoll Dr., Lake Forest, Illinois |
| Authorized Official Name and Position | Wioletta Borecka-kolcan (PRESIDENT) |
| Authorized Official Contact | 7735620734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancient Healing Oriental Medicine Clinic S.c. 987 Oak Knoll Dr Lake Forest IL 60045-2635 Ph: (847) 735-9609 | Ancient Healing Oriental Medicine Clinic S.c. 987 Oak Knoll Dr. Lake Forest IL 60045-2635 Ph: (847) 735-9609 |
| NPI Number | 1306073747 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306073747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 198000814 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 03801172 (Illinois) | Secondary |
| 261Q00000X | Clinic/center | 198.000814 (Illinois) | Primary |
Richard J Siebert, M.d.,s,c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 N Westmoreland Rd Ste B, Lake Forest, IL 60045 Phone: 847-234-8808 | |
David Vigder Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 N Westmoreland Rd, Suite 206, Lake Forest, IL 60045 Phone: 847-615-2227 Fax: 847-615-2228 | |
Home Doctors Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Hunter, Lake Forest, IL 60045 Phone: 847-615-2273 Fax: 877-335-6195 | |
Forward Focus Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 S Waukegan Rd Ste 200, Lake Forest, IL 60045 Phone: 847-234-8100 Fax: 847-234-8199 | |
Lake Forest Pediatric Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045 Phone: 847-295-1220 Fax: 847-295-1255 | |
Kurt J Brotherson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 S Waukegan Rd, 203, Lake Forest, IL 60045 Phone: 847-482-0136 |