Organization Active NPI

Eastern Healing Traditions

  • Acupuncturist
  • Grayslake, IL
National Provider Identifier
1548707987
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.00102 Issued in IL
Legal business name
EASTERN HEALING TRADITIONS
Practice address
34121 N US Highway 45
Suite 218
Grayslake, IL 60030-1768
Phone
(224) 541-0022
Fax
(844) 899-4225
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Mr. Kumaravel Natarajan, LAC.
Title
Owner/Acupuncturist
Phone
(224) 541-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.00102 IL Primary

Addresses

Primary practice location

34121 N US Highway 45
Suite 218
Grayslake, IL 60030-1768

Mailing address

34121 N US Highway 45
Suite 218
Grayslake, IL 60030-1768
Phone (224) 541-0022

National Provider Directory

National Provider Directory

Locations

34121 N US Highway 45
Ste 218
Grayslake, IL 60030
Phone (224) 541-0022

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1548707987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45",
            "address_2": "SUITE 218",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301768",
            "telephone_number": "224-541-0022",
            "fax_number": "844-899-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45",
            "address_2": "SUITE 218",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301768",
            "telephone_number": "224-541-0022",
            "fax_number": "844-899-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN HEALING TRADITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "NATARAJAN",
        "authorized_official_first_name": "KUMARAVEL",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "224-541-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.00102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.