Provider Demographics
NPI:1255678231
Name:MCLAUGHLIN, MAUREEN (DIPL AC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DIPL AC
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DIPL AC
Mailing Address - Street 1:1429 WINDFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-3514
Mailing Address - Country:US
Mailing Address - Phone:847-707-2231
Mailing Address - Fax:
Practice Address - Street 1:142 HAWLEY ST
Practice Address - Street 2:#5
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-3653
Practice Address - Country:US
Practice Address - Phone:847-707-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000123171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist