Provider Demographics
NPI:1063936904
Name:JONYNIENE, RAMINTA (LAC, CMT, CH)
Entity type:Individual
Prefix:
First Name:RAMINTA
Middle Name:
Last Name:JONYNIENE
Suffix:
Gender:F
Credentials:LAC, CMT, CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 ASBURY AVE # 2
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3523
Mailing Address - Country:US
Mailing Address - Phone:312-804-1957
Mailing Address - Fax:
Practice Address - Street 1:405 LAKE COOK RD STE 211
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4993
Practice Address - Country:US
Practice Address - Phone:312-804-1957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000951171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist