Active NPI
Bonnie Lee Spina, L.AC.
- Acupuncturist
- Libertyville, IL
National Provider Identifier
1407178999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.000746
- Practice address
- 326 S Milwaukee Ave
Libertyville, IL 60048-2819 - Phone
- (847) 281-9999
- NPI assigned
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198.000746 | IL | Primary |
Addresses
Primary practice location
326 S Milwaukee Ave
Libertyville, IL 60048-2819
Mailing address
855 Country Club Dr Apt B
Libertyville, IL 60048-3461
Phone (773) 654-0900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 198.000746 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Points Therapy | Acupuncturist | Past | Accepting new patients |
| Holverson Therapeutics, LLC | Past | Accepting new patients |
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.
-
- Contractor
- Libertyville, IL
- NPI 1780837054
-
- Acupuncturist
- Libertyville, IL
- NPI 1518989573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1407178999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 COUNTRY CLUB DR APT B",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483461",
"telephone_number": "773-654-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 S MILWAUKEE AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482819",
"telephone_number": "847-281-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "BONNIE",
"middle_name": "LEE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.