| Dongwon Acupuncture Corp | |
|
1600 Dempster St Ste 206 Park Ridge IL 60068-1172 | |
| (224) 938-9521 | |
| Not Available |
| Full Name | Dongwon Acupuncture Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 Dempster St Ste 206, Park Ridge, Illinois |
| Authorized Official Name and Position | Richard Kim (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2249389521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dongwon Acupuncture Corp 1600 Dempster St Ste 206 Park Ridge IL 60068-1172 Ph: (224) 410-7898 | Dongwon Acupuncture Corp 1600 Dempster St Ste 206 Park Ridge IL 60068-1172 Ph: (224) 938-9521 |
| NPI Number | 1578132411 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578132411 | NPI | - | NPPES |
| 063005247982 | Other | IL | MADICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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