Active NPI
Edwin Alvarez, L.AC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1235419078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000828
- Practice address
- 1020 W Leland Ave
Chicago
Chicago, IL 60640-5028 - Phone
- (773) 715-7985
- NPI assigned
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 198000828 | IL | Primary |
Addresses
Primary practice location
1020 W Leland Ave
Chicago
Chicago, IL 60640-5028
Mailing address
820 W Lakeside PL
3N
Chicago, IL 60640-5188
Phone (773) 715-7985
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 |
|---|---|---|---|
| 198000828 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1235419078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W LAKESIDE PL",
"address_2": "3N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405188",
"telephone_number": "773-715-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W LELAND AVE",
"address_2": "CHICAGO",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405028",
"telephone_number": "773-715-7985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000828",
"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 Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.