Organization Active NPI

Leesherbsllc

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1568913184
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001330 Issued in IL
Legal business name
LEESHERBSLLC
Practice address
4759 N Kedzie Ave Ste 104
Chicago, IL 60625-4420
Phone
(773) 895-1188
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mr. Guangqian Li, LAC
Title
Owner
Phone
(773) 895-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001330 IL Primary

Addresses

Primary practice location

4759 N Kedzie Ave Ste 104
Chicago, IL 60625-4420

Mailing address

4759 N Kedzie Ave Ste 104
Chicago, IL 60625-4420
Phone (773) 895-1188

National Provider Directory

National Provider Directory

Locations

4759 N Kedzie Ave
Ste 104
Chicago, IL 60625
Phone (773) 895-1188

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1568913184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 N KEDZIE AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254420",
            "telephone_number": "773-895-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 N KEDZIE AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254420",
            "telephone_number": "773-895-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESHERBSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "GUANGQIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-895-1188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001330",
            "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 19, 2016; 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.