Individual provider Active NPI

Janet L Devallauris, L.AC.

  • Acupuncturist
  • Wauconda, IL
National Provider Identifier
1164868568
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198000376 Issued in IL
Practice address
1099 Brown St
Suite 201
Wauconda, IL 60084-3105
Phone
(847) 772-0852
NPI assigned
May 13, 2013
Last updated
May 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198000376 IL Primary

Addresses

Primary practice location

1099 Brown St
Suite 201
Wauconda, IL 60084-3105

Mailing address

307 Richard CT
Island Lake, IL 60042-9635
Phone (847) 526-2918

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

LicenseStateTypeSpecialty
198000376ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1164868568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 RICHARD CT",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429635",
            "telephone_number": "847-526-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 BROWN ST",
            "address_2": "SUITE 201",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843105",
            "telephone_number": "847-772-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALLAURIS",
        "first_name": "JANET",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.