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Contact Information

ENLIGHTEN HOLISTIC MEDICINE, LLC
5330 W DEVON AVE
SUITE 5
CHICAGO, IL60646-4148
 Phone: 773-682-7124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ENLIGHTEN HOLISTIC MEDICINE, LLC

NPI Number 1215338066
LBN Legal business name ENLIGHTEN HOLISTIC MEDICINE, LLC
Authorized official KELLY DESIERTO - (LICENSED ACUPUNCTURIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2014
Last updated 09/11/2014 - About 12 years ago
Identifiers
IL License # 198.001110
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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