Provider Demographics
NPI:1164995619
Name:ANGIE NG, INC
Entity Type:Organization
Organization Name:ANGIE NG, INC
Other - Org Name:ACUPUNCTURE FOR BALANCED WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:312-890-5553
Mailing Address - Street 1:223 W JACKSON BLVD STE 860
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-6916
Mailing Address - Country:US
Mailing Address - Phone:312-890-5553
Mailing Address - Fax:312-312-9605
Practice Address - Street 1:223 W JACKSON BLVD STE 860
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6908
Practice Address - Country:US
Practice Address - Phone:312-890-5553
Practice Address - Fax:312-285-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty