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Contact Information

ANCIENT ROOTS ACUPUNCTURE PLLC
10850 W LARAWAY RD STE 3W
FRANKFORT, IL60423-6400
 Phone: 815-693-0810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ANCIENT ROOTS ACUPUNCTURE PLLC

NPI Number 1629811781
LBN Legal business name ANCIENT ROOTS ACUPUNCTURE PLLC
Authorized official SHANNON MCMAHON - (MANAGER / OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2024
Last updated 06/17/2024 - More than a year ago
Identifiers n/a
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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