Organization Active NPI

Lake Bluff Acupuncture, LLC

  • Acupuncturist
  • Lake Bluff, IL
National Provider Identifier
1124416060
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198000962 Issued in IL
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

Updated by the provider on Dec 30, 2014

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.