Organization Active NPI

Illinois Institute of Medical Acupuncture

  • Pain Medicine Physician
  • Buffalo Grove, IL
National Provider Identifier
1659525434
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
036057772 Issued in IL
Legal business name
ILLINOIS INSTITUTE OF MEDICAL ACUPUNCTURE
Practice address
135 N Arlington Heights Rd
Suite 152
Buffalo Grove, IL 60089-8213
Phone
(847) 537-7800
Fax
(847) 465-9610
NPI assigned
Nov 6, 2008
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. William David Rutenberg, M.D.NPI 1972690212
Title
President
Phone
(847) 537-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 036057772 IL Primary

Addresses

Primary practice location

135 N Arlington Heights Rd
Suite 152
Buffalo Grove, IL 60089-8213

Mailing address

1895 Clavey Rd
Highland Park, IL 60035-4373
Phone (847) 537-7800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1659525434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 CLAVEY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354373",
            "telephone_number": "847-537-7800",
            "fax_number": "847-465-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600898213",
            "telephone_number": "847-537-7800",
            "fax_number": "847-465-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS INSTITUTE OF MEDICAL ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "RUTENBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-537-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036057772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.