Provider Demographics
NPI:1972633865
Name:AYURZANA, ULZII (DIPL AC)
Entity Type:Individual
Prefix:DR
First Name:ULZII
Middle Name:
Last Name:AYURZANA
Suffix:
Gender:M
Credentials:DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4070 STRATFORD LANE
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110
Mailing Address - Country:US
Mailing Address - Phone:773-320-8290
Mailing Address - Fax:
Practice Address - Street 1:4913 W BELLE PLAINE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-1744
Practice Address - Country:US
Practice Address - Phone:773-320-8290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist