Organization Active NPI

Moon Rabbit Acupuncture & Eastern Medicine LLC

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1376179937
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MOON RABBIT ACUPUNCTURE & EASTERN MEDICINE LLC
Practice address
1111 W Madison St Ste 2
Chicago, IL 60607-2055
Phone
(781) 367-3356
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Gudrun Snyder, DAC, LACNPI 1275169740
Title
Founder/Acupuncturist
Phone
(781) 367-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1111 W Madison St Ste 2
Chicago, IL 60607-2055

Mailing address

18 N Ada St Unit E
Chicago, IL 60607-2141
Phone (781) 367-3356

National Provider Directory

National Provider Directory

Locations

1111 W Madison St
Ste 2
Chicago, IL 60607
Phone (312) 770-7546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1376179937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N ADA ST UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072141",
            "telephone_number": "781-367-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MADISON ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072055",
            "telephone_number": "781-367-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON RABBIT ACUPUNCTURE & EASTERN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GUDRUN",
        "authorized_official_title_or_position": "FOUNDER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "781-367-3356",
        "authorized_official_credential": "DAC, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.