Active NPI
Rebecca Han, MD, LAC
- Acupuncturist
- Oak Lawn, IL
National Provider Identifier
1164027504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001408
- Practice address
- 4700 West 95TH Street
LL6
Oak Lawn, IL 60453 - Phone
- (708) 422-7600
- NPI assigned
- Dec 3, 2020
- 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 | 198.001408 | IL | Primary |
Addresses
Primary practice location
4700 West 95TH Street
LL6
Oak Lawn, IL 60453
Mailing address
4700 West 95TH Street
LL6
Oak Lawn, IL 60453
Phone (708) 422-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198.001408 | Other | IL | IL STATE LICENSE PROVIDER NUMBER |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198.001408 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1164027504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WEST 95TH STREET",
"address_2": "LL6",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-422-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WEST 95TH STREET",
"address_2": "LL6",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-422-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "MD, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LICENSE PROVIDER NUMBER",
"identifier": "198.001408",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.