Provider Demographics
NPI:1255658910
Name:ALTERNATIVE HEALTH ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTH ASSOCIATES, LTD.
Other - Org Name:LAKE ZURICH FAMILY TREATMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:WELLNESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOPIN-WILL
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:847-955-0800
Mailing Address - Street 1:504 S RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2357
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:504 S RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2357
Practice Address - Country:US
Practice Address - Phone:847-955-0800
Practice Address - Fax:847-890-6187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty