Tanuja Devi Jagernauth L.AC, MSTOM

NPI 1063657203 - Acupuncturist - 171100000X

NPI Details
NPI 1063657203
Gender Female
Enumeration Date 12/02/2008
Last Updated 12/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1901 N CLYBOURN AVE
SUITE #304
CHICAGO IL, 60614-5090, US
Phone (773) 749-9101
Fax
Business Location
1901 N CLYBOURN AVE
SUITE #304
CHICAGO IL, 60614-5090, US
Phone (773) 749-9101
Fax
Toxanomy
Taxonomy Code 171100000X
License State Illinois
License Number 198000771
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According to our database, Ms. Tanuja Devi Jagernauth L.AC, MSTOM NPI is 1063657203, taxonomy code is 171100000X and license number is 198000771, license state is located at Illinois. Tanuja Devi Jagernauth L.AC, MSTOM physically located at 1901 N Clybourn Ave, Chicago IL, 60614-5090. NPI Number Tanuja Devi Jagernauth L.AC, MSTOM has the Individual type.

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1063657203 NPI number is provided on an as is basis without warranty of any kind. 1063657203 is maintained by the National Plan & Provider Enumeration System. The contents of Tanuja Devi Jagernauth L.AC, MSTOM are for informational purposes only.