Burdock & Clove Wellness LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

BURDOCK & CLOVE WELLNESS LLC

Practice address

2052 W Addison St # 2
Chicago, IL 60618-6126

Phone

(312) 735-3589

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Ann Victorine, LACNPI 1871057190

Title

Owner, Licensed Acupuncturist

Phone

(312) 735-3589

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Victorine Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ann Victorine, LAC

  • Acupuncturist
  • Chicago, IL
  • NPI 1871057190
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1154920759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 W ADDISON ST # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186126",
            "telephone_number": "312-735-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 W ADDISON ST # 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186126",
            "telephone_number": "312-735-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDOCK & CLOVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "VICTORINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "312-735-3589",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Victorine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laurence I Burd, M.D.
• Kristin Burda, PT
• Malia Carol Burden
• Kate Christine Burdick, DPT
• Chantanique Burdine
• Carla Burdock
• Curtis T Burds, PT, DPT, CSCS
• Madeline M Burds
• Alexa Kali Buresh, PA
• Michelle Buresh, M.A. CCC-SLP

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.