Active NPI
Thomas Edmund Malone, M.AC., PH.D., L.AC.
- Acupuncturist
- Evanston, IL
National Provider Identifier
1053754085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001036
- Practice address
- 500 Davis St
Suite 815
Evanston, IL 60201-4668 - Phone
- (773) 680-0081
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- 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 | 198001036 | IL | Primary |
Addresses
Primary practice location
500 Davis St
Suite 815
Evanston, IL 60201-4668
Mailing address
2448 W Estes Ave
Unit 2
Chicago, IL 60645-3311
Phone (773) 680-0081
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198001036 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1053754085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 W ESTES AVE",
"address_2": "UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606453311",
"telephone_number": "773-680-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DAVIS ST",
"address_2": "SUITE 815",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014668",
"telephone_number": "773-680-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "THOMAS",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "M.AC., PH.D., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.