Organization Active NPI

Northwestern Oriental Medicine LLC

Doing business as Juntendo Clinic

  • Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1265638191
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
198-000557 Issued in IL
Legal business name
NORTHWESTERN ORIENTAL MEDICINE LLC
Doing business as
Juntendo Clinic
Practice address
515 E Golf Rd
Suite 108
Arlington Heights, IL 60005-4089
Phone
(847) 290-8339
Fax
(847) 290-8366
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Ms. Kari Ye, ACUPUNCTURIST
Title
President
Phone
(847) 290-8339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Clinic/Center 261Q00000X 198-000557 IL Primary

Addresses

Primary practice location

515 E Golf Rd
Suite 108
Arlington Heights, IL 60005-4089

Mailing address

515 E Golf Rd
Suite 108
Arlington Heights, IL 60005-4089
Phone (847) 290-8339

Other practice location 1

1893 Sheridan Rd Ste 108
Highland Park, IL 60035-2608
Phone (847) 290-8339

Other names 1

  • Juntendo Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251015003140 IL Part B Supplier - Clinic/Group Practice 4082101712 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

515 E Golf Rd
Ste 108
Arlington Heights, IL 60005
Phone (847) 290-8339

1893 Sheridan Rd
Ste 108
Highland Park, IL 60035
Phone (847) 290-8339

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1265638191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GOLF RD",
            "address_2": "SUITE 108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054089",
            "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": "SUITE 108",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054089",
            "telephone_number": "847-290-8339",
            "fax_number": "847-290-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1893 Sheridan Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352608",
            "country_code": "US",
            "telephone_number": "847-290-8339",
            "fax_number": "847-290-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWESTERN ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "YE",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-290-8339",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACUPUNCTURIST"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "198-000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juntendo Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.