Individual provider Active NPI

Nataliya Nusinova

  • Acupuncturist
  • Wheeling, IL
National Provider Identifier
1306267083
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001055 Issued in IL
Practice address
401 S Milwaukee Ave Ste 230
Wheeling, IL 60090-5082
Phone
(224) 300-0499
NPI assigned
Dec 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001055 IL Primary

Addresses

Primary practice location

401 S Milwaukee Ave Ste 230
Wheeling, IL 60090-5082

Mailing address

4000 Triumvera Dr Apt 408
Glenview, IL 60025-3851

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
198.001055ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Acupuncture Acupuncturist CurrentSince Sep 23, 2024 Accepting new patients

Locations

401 S Milwaukee Ave
Ste 230
Wheeling, IL 60090
Phone (224) 300-0499

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": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1306267083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 TRIUMVERA DR APT 408",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MILWAUKEE AVE STE 230",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905082",
            "telephone_number": "224-300-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSINOVA",
        "first_name": "NATALIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.