Individual provider Active NPI

Victoria Sous, LAC

  • Acupuncturist
  • Mount Prospect, IL
National Provider Identifier
1497104418
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001313 Issued in IL
Practice address
259 E Rand Rd Ste 107
Mount Prospect, IL 60056-2184
Phone
(224) 531-8518
Fax
(866) 530-1169
NPI assigned
Jun 9, 2016
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001313 IL Primary

Addresses

Primary practice location

259 E Rand Rd Ste 107
Mount Prospect, IL 60056-2184

Mailing address

259 E Rand Rd Ste 107
Mount Prospect, IL 60056-2184
Phone (224) 307-4325

Other practice location 1

2018 S. Michigan Avenue
Chicago, IL 60616-6061
Phone (312) 753-3249

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

LicenseStateTypeSpecialty
198001313ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Paradise Acupuncture Acupuncturist Current Accepting new patients
L&a Healing Studio Acupuncturist Past Accepting new patients

Locations

259 E Rand Rd
Ste 107
Mt Prospect, IL 60056
Phone (224) 307-4325

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1497104418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E RAND RD STE 107",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562184",
            "telephone_number": "224-307-4325",
            "fax_number": "866-530-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E RAND RD STE 107",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562184",
            "telephone_number": "224-531-8518",
            "fax_number": "866-530-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 S. Michigan Avenue",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606166061",
            "country_code": "US",
            "telephone_number": "312-753-3249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUS",
        "first_name": "VICTORIA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.