Individual provider Active NPI

Ana Maria V Mitchell, L.AC

  • Acupuncturist
  • Wilmette, IL
National Provider Identifier
1366027344
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198-001549 Issued in IL
Practice address
522 Poplar Dr
Wilmette, IL 60091-2717
Phone
(847) 251-0044
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198-001549 IL Primary

Addresses

Primary practice location

522 Poplar Dr
Wilmette, IL 60091-2717

Mailing address

742 W Bittersweet PL Apt 1W
Chicago, IL 60613-6576
Phone (917) 615-9991

Other names 1

  • Ana Maria Vadillo Former name

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
198-001549ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Holistic Healthcare, S.C. CurrentSince Mar 16, 2021 Accepting new patients
Halcyon Health Chiropractic, S.C. PastSince Mar 16, 2021 Accepting new patients

Locations

522 Poplar Dr
Wilmette, IL 60091
Phone (847) 251-0044

Organizations & group practices 2

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": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1366027344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W BITTERSWEET PL APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136576",
            "telephone_number": "917-615-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 POPLAR DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912717",
            "telephone_number": "847-251-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANA MARIA",
        "middle_name": "V",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-001549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA MARIA",
            "last_name": "VADILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.