Active NPI
Jonathan Andrew Kalin, L.AC, DACM
- Acupuncturist
- Chicago, IL
National Provider Identifier
1093469702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001592
- Practice address
- 1335 S Michigan Ave
Chicago, IL 60605-2601 - Phone
- (312) 216-2420
- Fax
- (312) 216-2421
- NPI assigned
- Feb 10, 2022
- Sex
- Male
- 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 | 198.001592 | IL | Primary |
Addresses
Primary practice location
1335 S Michigan Ave
Chicago, IL 60605-2601
Mailing address
1335 S Michigan Ave
Chicago, IL 60605-2601
Phone (312) 216-2420
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 |
|---|---|---|---|
| 198.001592 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Wellness, LLC | Acupuncturist | Past | Accepting new patients |
| Active Wellness LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
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": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1093469702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052601",
"telephone_number": "312-216-2420",
"fax_number": "312-216-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052601",
"telephone_number": "312-216-2420",
"fax_number": "312-216-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALIN",
"first_name": "JONATHAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "L.AC, DACM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001592",
"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 Feb 10, 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.