Individual provider Active NPI

Gudrun Wu Snyder, DAC, LAC

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1275169740
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001437 Issued in IL
Practice address
1111 W Madison St Ste 2
Chicago, IL 60607-2055
Phone
(781) 367-3356
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001437 IL Primary

Addresses

Primary practice location

1111 W Madison St Ste 2
Chicago, IL 60607-2055

Mailing address

18 N Ada St Unit E
Chicago, IL 60607-2141
Phone (781) 367-3356

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
198.001437ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Moon Rabbit Acupuncture & Eastern Medicine LLC Acupuncturist CurrentSince Mar 22, 2020 Accepting new patients

Locations

1111 W Madison St
Ste 2
Chicago, IL 60607
Phone (312) 770-7546

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1275169740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N ADA ST UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072141",
            "telephone_number": "781-367-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MADISON ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072055",
            "telephone_number": "781-367-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "GUDRUN",
        "middle_name": "WU",
        "credential": "DAC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001437",
            "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 17, 2020; 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.