Individual provider Active NPI

Lesley M. Heidrich, LAC, CMLDT, RT(T)

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1518307479
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001097 Issued in IL
Practice address
6374 N Lincoln Ave
Suite 305
Chicago, IL 60659-1275
Phone
(773) 295-7319
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001097 IL Primary

Addresses

Primary practice location

6374 N Lincoln Ave
Suite 305
Chicago, IL 60659-1275

Mailing address

2140 W Irving Park Rd
#1
Chicago, IL 60618-3924
Phone (773) 295-7319

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
198001097ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley M. Heidrich Acupuncture, LLC TM Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1518307479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W IRVING PARK RD",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183924",
            "telephone_number": "773-295-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE",
            "address_2": "SUITE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591275",
            "telephone_number": "773-295-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDRICH",
        "first_name": "LESLEY",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "credential": "LAC, CMLDT, RT(T)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001097",
            "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 May 28, 2014; 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.