Active NPI
Kumaravel Natarajan, L.AC.
- Acupuncturist
- Grayslake, IL
National Provider Identifier
1669806501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001102
- Practice address
- 152 Hawley St
#5
Grayslake, IL 60030-3554 - Phone
- (224) 578-1828
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198.001102 | IL | Primary |
Addresses
Primary practice location
152 Hawley St
#5
Grayslake, IL 60030-3554
Mailing address
812 Blazing Star Rd
Grayslake, IL 60030-3554
Phone (224) 578-1828
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
| License | State | Type | Specialty |
|---|---|---|---|
| 198.001102 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1669806501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 BLAZING STAR RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303554",
"telephone_number": "224-578-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 HAWLEY ST",
"address_2": "#5",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303554",
"telephone_number": "224-578-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATARAJAN",
"first_name": "KUMARAVEL",
"name_prefix": "Mr.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.