Organization Active NPI

Eastern Vitality Acupuncture Inc.

  • Acupuncturist
  • Park Ridge, IL
National Provider Identifier
1619814654
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EASTERN VITALITY ACUPUNCTURE INC.
Practice address
1218 S Crescent Ave
Park Ridge, IL 60068-5317
Phone
(773) 800-1806
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Christina Frances Dwyer, L.AC.NPI 1659212819
Title
Owner
Phone
(773) 766-2017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1218 S Crescent Ave
Park Ridge, IL 60068-5317

Mailing address

1218 S Crescent Ave
Park Ridge, IL 60068-5317
Phone (773) 800-1806

National Provider Directory

National Provider Directory

Locations

1218 S Crescent Ave
Park Ridge, IL 60068
Phone (773) 800-1806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1619814654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S CRESCENT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685317",
            "telephone_number": "773-800-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 S CRESCENT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685317",
            "telephone_number": "773-800-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN VITALITY ACUPUNCTURE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-766-2017",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.