Individual provider Active NPI

Elaine Vozar, MSTOM

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1255670519
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000477 Issued in IL
Practice address
3817 N Pulaski Rd
Chicago, IL 60641-3141
Phone
(773) 609-3711
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5401000078 MI
Acupuncturist 171100000X 198.000477 IL Primary

Addresses

Primary practice location

3817 N Pulaski Rd
Chicago, IL 60641-3141

Mailing address

3817 N Pulaski Rd
Chicago, IL 60641-3141
Phone (773) 609-3711

Other practice location 1

8008 Lakeshore Rd
Whitmore Lake, MI 48189-9244
Phone (734) 239-5167

Other practice location 2

2736 W Sunnyside Ave # 1
Chicago, IL 60625-3819
Phone (773) 609-3711

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
198.000477ILMDAcupuncturist
5401000078MIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1255670519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413141",
            "telephone_number": "773-609-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413141",
            "telephone_number": "773-609-3711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8008 Lakeshore Rd",
            "address_purpose": "LOCATION",
            "city": "Whitmore Lake",
            "state": "MI",
            "postal_code": "481899244",
            "country_code": "US",
            "telephone_number": "734-239-5167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2736 W Sunnyside Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253819",
            "country_code": "US",
            "telephone_number": "773-609-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOZAR",
        "first_name": "ELAINE",
        "credential": "MSTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000078",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000477",
            "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 Mar 20, 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.