Individual provider Active NPI

Thomas Albert Heil Jr., L.AC.

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1053734954
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001072 Issued in IL
Practice address
4737 N Clark St
Chicago, IL 60640-7758
Phone
(872) 216-9612
NPI assigned
Jan 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001072 IL Primary

Addresses

Primary practice location

4737 N Clark St
Chicago, IL 60640-7758

Mailing address

1460 W Berwyn Ave # 2
Chicago, IL 60640-2108
Phone (773) 516-1610

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

LicenseStateTypeSpecialty
198001072ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Heil Health and Wellness, PLLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

3817 N Pulaski Rd
Chicago, IL 60641
Phone (773) 234-3742

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1053734954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 W BERWYN AVE # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402108",
            "telephone_number": "773-516-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407758",
            "telephone_number": "872-216-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "THOMAS",
        "middle_name": "ALBERT",
        "name_suffix": "Jr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.