Provider Demographics
NPI:1255668877
Name:BEIJING ACUPUNCTURE PAIN AND REHABILITATION, INC
Entity Type:Organization
Organization Name:BEIJING ACUPUNCTURE PAIN AND REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JIN
Authorized Official - Middle Name:SHU
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-635-6080
Mailing Address - Street 1:1245 N. MILWAUKEE AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:847-635-6080
Mailing Address - Fax:
Practice Address - Street 1:1245 N. MILWAUKEE AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025
Practice Address - Country:US
Practice Address - Phone:847-635-6080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000330171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty