Active NPI
Kelly Kirles, L.AC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1093170276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001260
- Practice address
- 4555 N Lincoln Ave
Chicago, IL 60625-2102 - Phone
- (773) 273-6734
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 198001260 | IL | Primary |
Addresses
Primary practice location
4555 N Lincoln Ave
Chicago, IL 60625-2102
Mailing address
1738 W Altgeld St
1R
Chicago, IL 60614-8228
Phone (313) 530-9902
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 |
|---|---|---|---|
| 198001260 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1093170276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 W ALTGELD ST",
"address_2": "1R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606148228",
"telephone_number": "313-530-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252102",
"telephone_number": "773-273-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRLES",
"first_name": "KELLY",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001260",
"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 Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.