Individual provider Active NPI

Yujin Kara Kang, L.AC.

  • Acupuncturist
  • Deerfield, IL
National Provider Identifier
1326767328
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001588 Issued in IL
Practice address
420 Lake Cook Rd Ste 121
Deerfield, IL 60015-4914
Phone
(630) 732-1529
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001588 IL Primary

Addresses

Primary practice location

420 Lake Cook Rd Ste 121
Deerfield, IL 60015-4914

Mailing address

420 Lake Cook Rd Ste 121
Deerfield, IL 60015-4914
Phone (630) 732-1529

Other practice location 1

505 Orchard St Ste 200
Antioch, IL 60002-1290
Phone (847) 603-1331

Other identifiers 1

IdentifierTypeStateIssuer
198.001588OtherILACUPUNCTURE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AcuityAcuWellness@gmail.com Direct

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
198.001588ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1326767328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD STE 121",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154914",
            "telephone_number": "630-732-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LAKE COOK RD STE 121",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154914",
            "telephone_number": "630-732-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Orchard St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600021290",
            "country_code": "US",
            "telephone_number": "847-603-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "YUJIN",
        "middle_name": "KARA",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "198.001588",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AcuityAcuWellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail correspondence",
            "address_1": "420 Lake Cook Rd Ste 121",
            "city": "Deerfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600154914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.