Active NPI
Chona Estacio, LAC
- Acupuncturist
- Bolingbrook, IL
National Provider Identifier
1033723432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000978
- Practice address
- 209 Whitewater Dr
Bolingbrook, IL 60440-1744 - Phone
- (630) 442-9962
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198000978 | IL | Primary |
Addresses
Primary practice location
209 Whitewater Dr
Bolingbrook, IL 60440-1744
Mailing address
209 Whitewater Dr
Bolingbrook, IL 60440-1744
Phone (630) 442-9962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198000978 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1033723432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WHITEWATER DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401744",
"telephone_number": "630-442-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WHITEWATER DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401744",
"telephone_number": "630-442-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTACIO",
"first_name": "CHONA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.