ANCIENT HEALING OMC S.C.
NPI 1306073747
Clinic/Center in Lake Forest, IL

Active since June 11, 2009
987 OAK KNOLL DR., LAKE FOREST, IL 60045(847) 735-9609(847) 235-2439 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ancient Healing Omc S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANCIENT HEALING OMC S.C. (NPI 1306073747) is a healthcare organization registered as a clinic/center in Lake Forest, Illinois and active in the NPI registry since June 2009. The organization lists Wioletta Borecka-kolcan, President, as its authorized official.

NPPES Registry Identity

NPI1306073747
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameANCIENT HEALING ORIENTAL MEDICINE CLINIC S.C.
Location Address987 OAK KNOLL DR.Lake Forest, IL 60045-2635
Mailing Address987 Oak Knoll DrLake Forest, IL 60045-2635 · (847) 735-9609 · Fax (847) 235-2439
Fax(847) 235-2439
Organization SubpartNo
Authorized OfficialWioletta Borecka-kolcanPresident · (773) 562-0734
Enumeration DateJune 11, 2009
Last NPPES UpdateJanuary 25, 2011
NPI 1306073747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Licenses Licensed in IL · 198.000814 Licensed in IL · 198000814
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedChiropractorTaxonomy 111N00000X · License 03801172 (IL)
987 OAK KNOLL DR., Lake Forest, IL 60045

Other Names 1

Doing Business AsAncient Healing Omc S.c.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ancient Healing Oriental Medicine Clinic S.C.'s NPI number?

The NPI number for Ancient Healing Oriental Medicine Clinic S.C. is 1306073747. It was assigned to this organization in the NPPES registry on June 11, 2009. The provider is doing business as Ancient Healing Omc S.C..

Where is Ancient Healing Oriental Medicine Clinic S.C. located?

Ancient Healing Oriental Medicine Clinic S.C. is located at 987 Oak Knoll Dr., Lake Forest, IL 60045. The listed phone number is (847) 735-9609.

What is Ancient Healing Oriental Medicine Clinic S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ancient Healing Oriental Medicine Clinic S.C. was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.