Hui Dong

Individual provider Active NPI Acupuncturist · Lake Bluff, IL

NPI 1972847788 · NPPES record last updated Nov 21, 2012

Key facts

NPI
1972847788
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
198.000962 (IL)
Practice address
49 Sherwood Ter
Evergreen Office Building, Suite J
Lake Bluff, IL 60044-2231
Phone
(847) 533-3621
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
198.000962ILMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000962 IL Yes

Addresses

Primary practice location

49 Sherwood Ter
Evergreen Office Building, Suite J
Lake Bluff, IL 60044-2231

Mailing address

29735 Butterfly CT
Lake Bluff, IL 60044-1169
Phone (847) 535-9638

Other providers in Lake Bluff, IL

All providers in Lake Bluff, IL · Acupuncturist in Illinois

Sources for this page

Verify at the official NPI Registry.