Provider Demographics
NPI:1710692538
Name:ACUCARE NORTHSHORE WELLNESS
Entity Type:Organization
Organization Name:ACUCARE NORTHSHORE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS. / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:224-461-3605
Mailing Address - Street 1:2700 MARL OAK DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1320
Mailing Address - Country:US
Mailing Address - Phone:224-461-3605
Mailing Address - Fax:
Practice Address - Street 1:1866 SHERIDAN RD STE 303
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2546
Practice Address - Country:US
Practice Address - Phone:224-461-3605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty