Fan Pietrangelo, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198001196 Issued in IL

Practice address

515 E Golf Rd
Unit 108
Arlington Heights, IL 60005

Phone

(847) 290-8339

Fax

(847) 290-8366

NPI assigned

Nov 17, 2016

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Fan Jiang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwestern Oriental Medicine LLC

  dba Juntendo Clinic

  • Clinic/Center
  • Arlington Heights, IL
  • NPI 1265638191
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1174065437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GOLF RD",
            "address_2": "UNIT 108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-290-8339",
            "fax_number": "847-290-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GOLF RD",
            "address_2": "UNIT 108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-290-8339",
            "fax_number": "847-290-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRANGELO",
        "first_name": "FAN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAN",
            "last_name": "JIANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physician Care, LTD.
• Physicians Care Plus Inc. (Physician Care Plus)
• Daniel H Piazza, M.D.
• Sruthi R Pichika, PT, DPT
• Grazyna Piechocka
• Gillian Taylor Pietrick
• Scott N. Pinchot, M.D.
• Patricia Joanne Pinski, PT
• Pioneer BH Il
• Mark John Piotrowski, MD

• Acupuncturist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.