Foo, Petra

Foo, Petra is an individual health care provider with primary practice located at 1641 N Milwaukee Ave #9, Libertyville IL 60048-1350. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Foo, Petra can be contacted via phone (847) 971-9393.

Contact Information

Primary practice address
1641 N Milwaukee Ave #9 Libertyville IL 60048-1350
Fax: (847) 929-9568
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198000516 Illinois

Profile Details

NPI number 1053672246
LBN Legal business name Foo, Petra
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Jun 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053672246 NPPES
Illinois Other 1700185741 NPI FOR GROUP HEALTHY BODY HEALTHY MIND, INC.

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