Individual provider Active NPI

Jonathan Walton, L. AC.

  • Acupuncturist
  • Libertyville, IL
National Provider Identifier
1609176775
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000703 Issued in IL
Practice address
326 S Milwaukee Ave
Libertyville, IL 60048-2819
Phone
(847) 281-9999
Fax
(847) 281-9998
NPI assigned
Oct 23, 2010
Last updated
Oct 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000703 IL Primary

Addresses

Primary practice location

326 S Milwaukee Ave
Libertyville, IL 60048-2819

Mailing address

646 W Armitage Ave
Elmhurst, IL 60126-2139
Phone (708) 275-8389

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
198.000703ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Points Therapy Acupuncturist Past Accepting new patients
Holverson Therapeutics, LLC 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, 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": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1609176775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W ARMITAGE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262139",
            "telephone_number": "708-275-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482819",
            "telephone_number": "847-281-9999",
            "fax_number": "847-281-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-23",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; 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.