Provider Demographics
NPI:1588899371
Name:CANGA-ARGUELLES, KARA CHRISTINE (LAC, MSOM,BS)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:CHRISTINE
Last Name:CANGA-ARGUELLES
Suffix:
Gender:F
Credentials:LAC, MSOM,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 TURNER AVE
Mailing Address - Street 2:2ND FLR.
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3956
Mailing Address - Country:US
Mailing Address - Phone:847-357-3929
Mailing Address - Fax:
Practice Address - Street 1:60 TURNER AVE
Practice Address - Street 2:2ND FLR.
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3956
Practice Address - Country:US
Practice Address - Phone:847-357-3929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198000829171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist