Provider Demographics
NPI:1083807234
Name:UNITED ALTERNATIVE HEALING CENTER, INC.
Entity Type:Organization
Organization Name:UNITED ALTERNATIVE HEALING CENTER, INC.
Other - Org Name:HEALTH ELEMENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:312-842-1229
Mailing Address - Street 1:79 E 16TH ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-5520
Mailing Address - Country:US
Mailing Address - Phone:312-842-1229
Mailing Address - Fax:312-929-2079
Practice Address - Street 1:79 E 16TH ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-5520
Practice Address - Country:US
Practice Address - Phone:312-842-1229
Practice Address - Fax:312-929-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000697171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty