Provider Demographics
NPI:1912884636
Name:MERIDIAN & MYRRH ACUPUNCTURE AND WELLNESS, PLLC
Entity type:Organization
Organization Name:MERIDIAN & MYRRH ACUPUNCTURE AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAAKONSON
Authorized Official - Suffix:
Authorized Official - Credentials:DACCHM, LAC
Authorized Official - Phone:320-420-5040
Mailing Address - Street 1:15 WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1338
Mailing Address - Country:US
Mailing Address - Phone:320-420-5040
Mailing Address - Fax:
Practice Address - Street 1:15 WALKER AVE
Practice Address - Street 2:
Practice Address - City:CLARENDON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60514-1338
Practice Address - Country:US
Practice Address - Phone:320-420-5040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty