Olivia Banifazl
Olivia Banifazl is an Acupuncturist in River Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
2522 Forest View AveRiver Grove, IL 60171-1602
Phone: (312) 813-4465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acupuncturist (primary) | Taxonomy 171100000X · Licence 198.001652 (IL) |
|---|
Record details
| NPI number | 1841047248 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2024 |
| Last updated in NPPES | May 2, 2024 |
| Certification date | May 2, 2024 |
| Mailing address | 2522 Forest View Ave, River Grove, IL 60171-1602 |