Active NPI
Michael Reyes Jamlang, LAC.
- Acupuncturist
- Chicago, IL
National Provider Identifier
1497006472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.000889
- Practice address
- 2525 S Michigan Ave
Chicago, IL 60616-2333 - Phone
- (312) 567-2000
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- 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 | 198.000889 | IL | Primary |
Addresses
Primary practice location
2525 S Michigan Ave
Chicago, IL 60616-2333
Mailing address
1549 W Fargo Ave Apt 2N
Chicago, IL 60626-1804
Phone (773) 744-3595
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 |
|---|---|---|---|
| 198.000889 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Wellness LLC | Acupuncturist | Past | Accepting new patients |
| Active Wellness, LLC | Acupuncturist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1497006472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 W FARGO AVE APT 2N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261804",
"telephone_number": "773-744-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162333",
"telephone_number": "312-567-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMLANG",
"first_name": "MICHAEL",
"middle_name": "REYES",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000889",
"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 Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.