Mary B Wetterstrand, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.001031 Issued in IL

Practice address

4024 Wagner Ave
Schiller Park, IL 60176-2108

Phone

(847) 671-0149

NPI assigned

Dec 28, 2011

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1386913820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 WAGNER AVE",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762108",
            "telephone_number": "847-671-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 WAGNER AVE",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762108",
            "telephone_number": "847-671-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTERSTRAND",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001031",
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Vanderwaal
• Vertebra Health Institute, Inc
• Village of Schiller Park
• Walgreen Co (Walgreens #04826)
• Diana Wash
• Emily Anne Wielgus
• Karleigh Wolf
• Jamie Yu, MOT OTR/L

• Acupuncturist in Schiller Park, IL
• Providers in Schiller Park, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.