Mabel Angel, LAC,

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.001262 Issued in IL

Practice address

109 Fairfield Way # Eay
104
Bloomingdale, IL 60108-1583

Phone

(630) 300-3878

Fax

(630) 924-0599

NPI assigned

Aug 21, 2015

Last updated

Apr 16, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1639546971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY # EAY",
            "address_2": "104",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081583",
            "telephone_number": "630-300-3878",
            "fax_number": "630-924-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY # EAY",
            "address_2": "104",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081583",
            "telephone_number": "630-300-3878",
            "fax_number": "630-924-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL",
        "first_name": "MABEL",
        "name_prefix": "Mrs.",
        "credential": "LAC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.