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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVIA BANIFAZL

Active Sole Proprietor

OLIVIA BANIFAZL is a Acupuncturist healthcare provider located in RIVER GROVE, Illinois. NPI 1841047248 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · RIVER GROVE, IL

Registration Details

NPI Number
1841047248
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2024 (2.0975173641553 yrs)
Last Updated
May 2, 2024
License
198.001652 (IL)
Sole Proprietor
Yes

Practice Information

Address
2522 FOREST VIEW AVE
RIVER GROVE, IL, 601711602
Browse IL providers · Browse ZIP 60171
Phone
3128134465
Primary Specialty
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.