Provider Demographics
NPI:1922336825
Name:HEALTHY BY NATURE ACUPUNCTURE & ORIENTAL MEDICINE CENTER
Entity Type:Organization
Organization Name:HEALTHY BY NATURE ACUPUNCTURE & ORIENTAL MEDICINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPL AC
Authorized Official - Phone:847-658-6004
Mailing Address - Street 1:9231 S HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-1670
Mailing Address - Country:US
Mailing Address - Phone:847-658-6004
Mailing Address - Fax:847-829-3991
Practice Address - Street 1:9231 S HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-1670
Practice Address - Country:US
Practice Address - Phone:847-658-6004
Practice Address - Fax:847-829-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000790171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty