Aroop Banerji, N.D. LAC
Individual provider Active NPI Acupuncturist · Johnsburg, IL
NPI 1457556433 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1457556433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 198000559 (IL)
- Practice address
- 3520 Chapel Hill Rd
Johnsburg, IL 60051-2506 - Phone
- (847) 275-2630
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164007104 | IL | MD | Nutritionist |
| 198000559 | IL | MD | Acupuncturist |
| 0990000226 | VT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millenium Park Medical Center, SC | Past |
Accepting new patients | |
| Functional Health SC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164007104 | IL | |
| Naturopath | 175F00000X | 0990000226 | VT | |
| Acupuncturist | 171100000X | 198000559 | IL | Yes |
Addresses
Primary practice location
3520 Chapel Hill Rd
Johnsburg, IL 60051-2506
Mailing address
153 Butternut CT
Round Lake Beach, IL 60073-4945
Phone (847) 275-2630
Other providers in Johnsburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.