Yoseph Desta Felek DA

NPI 1093941072 - Acupuncturist - 171100000X

NPI Details
NPI 1093941072
Gender Male
Enumeration Date 06/04/2009
Last Updated 06/04/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
5359 N BROADWAY ST
SUITE C
CHICAGO IL, 60640-2391, US
Phone (773) 293-3812
Fax
Business Location
5359 N BROADWAY ST STE C
CHICAGO IL, 60640-2586, US
Phone (773) 293-3812
Fax
Toxanomy
Taxonomy Code 171100000X
License State Illinois
License Number 198000233
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According to our database, Dr. Yoseph Desta Felek DA NPI is 1093941072, taxonomy code is 171100000X and license number is 198000233, license state is located at Illinois. Yoseph Desta Felek DA physically located at 5359 N Broadway St, Chicago IL, 60640-2391. NPI Number Yoseph Desta Felek DA has the Individual type.

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1093941072 NPI number is provided on an as is basis without warranty of any kind. 1093941072 is maintained by the National Plan & Provider Enumeration System. The contents of Yoseph Desta Felek DA are for informational purposes only.