Active NPI
Lake Bluff Acupuncture, LLC
- Acupuncturist
- Lake Bluff, IL
National Provider Identifier
1124416060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000962
- Legal business name
- LAKE BLUFF ACUPUNCTURE, LLC
- Practice address
- 49 Sherwood Ter
Lake Bluff, IL 60044-2231 - Phone
- (847) 533-3621
- NPI assigned
- Dec 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Hui Dong
- Title
- Licensed Acupuncturist
- Phone
- (847) 533-3621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198000962 | IL | Primary |
Addresses
Primary practice location
49 Sherwood Ter
Lake Bluff, IL 60044-2231
Mailing address
49 Sherwood Ter
Lake Bluff, IL 60044-2231
Phone (847) 533-3621
National Provider Directory
National Provider DirectoryLocations
49 Sherwood Ter
Lake Bluff, IL 60044
Phone (847) 477-2251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419897600000",
"number": "1124416060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SHERWOOD TER",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442231",
"telephone_number": "847-533-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 SHERWOOD TER",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442231",
"telephone_number": "847-533-3621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE BLUFF ACUPUNCTURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A",
"authorized_official_last_name": "DONG",
"authorized_official_first_name": "HUI",
"authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
"authorized_official_telephone_number": "847-533-3621",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.