Enriched Community Acupuncture Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ENRICHED COMMUNITY ACUPUNCTURE CENTER

Practice address

5255 N Central Ave
Chicago, IL 60630-4656

Phone

(773) 481-0452

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Shawn Crum

Title

Founder

Phone

(773) 407-5512

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1356912885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304656",
            "telephone_number": "773-481-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED COMMUNITY ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-407-5512"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5255 N Central Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606304656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William J Ennis, D.O.
• Kirsten Enoch, LCSW
• Owen Enoch, MA
• Christina Ann Enos, C.O.T.A.
• Enrica Rossi MD SC Corporation
• Enriched Living Counseling LLC
• Marelin Enriquez Paloalto
• Betsy H Enriquez, D.D.S.
• Decelle Jewel Manuel Enriquez, APRN, CRNA
• Emily Enriquez

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.