Active NPI
Elizabeth Kettner, L.AC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1225447550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001201
- Practice address
- 79 E 16TH St
Chicago, IL 60616-5520 - Phone
- (312) 842-1229
- NPI assigned
- Aug 12, 2014
- 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 | 198.001201 | IL | Primary |
Addresses
Primary practice location
79 E 16TH St
Chicago, IL 60616-5520
Mailing address
79 E 16TH St
Chicago, IL 60616-5520
Phone (312) 842-1229
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
| License | State | Type | Specialty |
|---|---|---|---|
| 198.001201 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1225447550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 E 16TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165520",
"telephone_number": "312-842-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 E 16TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165520",
"telephone_number": "312-842-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETTNER",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.