Healing Junction

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198-000109 Issued in IL

Legal business name

HEALING JUNCTION

Practice address

3322 N Ashland #2
Chicago, IL 60657

Phone

(773) 880-9120

Fax

(773) 880-9124

NPI assigned

Oct 24, 2014

Last updated

Oct 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kirk R Moulton, L.AC.

Title

President

Phone

(773) 880-9120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1679978373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 N ASHLAND AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570196",
            "telephone_number": "773-880-9120",
            "fax_number": "773-880-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 N ASHLAND #2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-880-9120",
            "fax_number": "773-880-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING JUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-880-9120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-000109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.