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BODHI & SAGE LLC NPI 1902391360


NPI Information

NPI: 1902391360
Provider Name: BODHI & SAGE, LLC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
1525 E 53RD ST STE 808
CHICAGO, IL
ZIP 60615
Phone: (312) 403-1853
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BODHI & SAGE, LLC is an acupuncturist in Chicago, IL. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. BODHI & SAGE, LLC NPI is 1902391360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1525 E 53RD ST STE 808
CHICAGO, IL
ZIP 60615-583
Phone: (312) 403-1853
Fax: (773) 947-0084

The provider's authorized official is Roger Fong .
The authorized official title is Founder & Clinic Director and has the following contact phone number (312) 403-1853.

The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist198001289ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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