Provider Demographics
NPI:1881871465
Name:KOU, JULING (LAC)
Entity type:Individual
Prefix:DR
First Name:JULING
Middle Name:
Last Name:KOU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 N COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3218
Mailing Address - Country:US
Mailing Address - Phone:630-718-0337
Mailing Address - Fax:
Practice Address - Street 1:874 N COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3218
Practice Address - Country:US
Practice Address - Phone:630-718-0337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist