Juyoung Park, L.AC,

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198001575 Issued in IL

Practice address

817 E Thomas St
Arlington Heights, IL 60004-4923

Phone

(504) 261-0168

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Elroma . Inc

  • Acupuncturist
  • Glenview, IL
  • NPI 1164380127
  NPD Authorized official
• The Elroma . Inc

  • Acupuncturist
  • Glenview, IL
  • NPI 1528829835
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1063154466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E THOMAS ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044923",
            "telephone_number": "504-261-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E THOMAS ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044923",
            "telephone_number": "504-261-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUYOUNG",
        "name_prefix": "Mr.",
        "credential": "L.AC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Junekim06041002@gmail.com",
            "affiliation": "N",
            "address_1": "817E Thomas St",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bosungpark78@gmail.com",
            "affiliation": "N",
            "address_1": "817E Thomas St",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alex Park
• Brandon Park
• C. Lucy Park
• Esmeralda L. Park, M.D.
• James J Park
• Tina Park, PHARMD
• Sarah Parkinson
• Parkway Dental PC
• Bijal Parmar, PA
• Juniper Parsons

• Acupuncturist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.