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Contact Information

JINGRU GONG, LAC
7451 WOODWARD AVE
#107
WOODRIDGE, IL60517-2665
 Phone: 630-541-8136
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JINGRU GONG · (Female)

NPI Number 1558768671
Status Active
Credentials LAC
Entity Individual
Enumeration date 12/04/2014
Last updated 12/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 198000402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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