Althea M Northage-Orr | Chicago, IL • PECOS Search

Althea M Northage-Orr

Acupuncturist

Other Service Providers

1622 W Devon Ave, Chicago, IL 60660-1214

PECOS Enrollment

Based on the most recent information from CMS, provider Althea M Northage-Orr does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1932613460
Provider Type
Individual
Full Name
Northage-Orr, Althea M
Credential
MA, AHG, L.AC., CST

Gender
Female
Sole Proprietor
No
Enumeration Date
11/20/2017
Last Updated
11/20/2017

Contact Information

Practice Location

1622 W Devon Ave, Chicago, IL 60660-1214

Unlisted Fax

Mailing Location

1622 W Devon Ave, Chicago, IL 60660-1214

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 198.000302 Illinois