Provider Demographics
NPI:1437597374
Name:NEIMS, CHLOE (L AC)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:NEIMS
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 RAND RD STE 226
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2346
Mailing Address - Country:US
Mailing Address - Phone:847-350-9074
Mailing Address - Fax:
Practice Address - Street 1:960 RAND RD STE 226
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2346
Practice Address - Country:US
Practice Address - Phone:847-350-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
IL198001142171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty