Individual provider Active NPI

Stephanie Madden, DACOM, L. AC

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1225520976
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001425 Issued in IL
Practice address
118 S Clinton St
Chicago, IL 60661-3628
Phone
(312) 548-8498
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001425 IL Primary

Addresses

Primary practice location

118 S Clinton St
Chicago, IL 60661-3628

Mailing address

118 S Clinton St
Chicago, IL 60661-3628
Phone (312) 548-8498

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
198.001425ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Madden LLC Current Accepting new patients

Locations

1654 W North Ave
Chicago, IL 60622
Phone (312) 767-2088

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1225520976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S CLINTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613628",
            "telephone_number": "312-548-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S CLINTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613628",
            "telephone_number": "312-548-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "STEPHANIE",
        "credential": "DACOM, L. AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001425",
            "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 May 30, 2018; 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.