Organization Active NPI

Clear Acupuncture Corp

Doing business as Clear Acupuncture

  • Acupuncturist
  • Glenview, IL
National Provider Identifier
1336621036
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001432 Issued in IL
Legal business name
CLEAR ACUPUNCTURE CORP
Practice address
1545 Waukegan Rd Ste 2
Glenview, IL 60025-2166
Phone
(847) 901-1800
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Brian Pendergast
Title
President
Phone
(312) 848-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198.001432 IL Primary

Addresses

Primary practice location

1545 Waukegan Rd Ste 2
Glenview, IL 60025-2166

Mailing address

127 N Donald Ave
Arlington Heights, IL 60004-6613
Phone (312) 848-7771

Other names 1

  • Clear Acupuncture Other name

National Provider Directory

National Provider Directory

Locations

1545 Waukegan Rd
Ste 2
Glenview, IL 60025
Phone (847) 901-1800

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": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1336621036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N DONALD AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046613",
            "telephone_number": "312-848-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WAUKEGAN RD STE 2",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252166",
            "telephone_number": "847-901-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR ACUPUNCTURE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "PENDERGAST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-848-7771"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.