NPIMap

Organization Active NPI

Shen Shen

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1679944607
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198000656 Issued in IL
Legal business name
SHEN SHEN
Practice address
2764 N Lincoln Ave
Chicago, IL 60614-6810
Phone
(773) 935-4325
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Bob Jones
Title
Owner
Phone
(773) 935-4325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 198000656 IL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2888 FL

Addresses

Primary practice location

2764 N Lincoln Ave
Chicago, IL 60614-6810

Mailing address

2764 N Lincoln Ave
Chicago, IL 60614-6810
Phone (773) 935-4325

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Life Rising3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1679944607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146810",
            "telephone_number": "773-935-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146810",
            "telephone_number": "773-935-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEN SHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-935-4325"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000656",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.