Acu-Hijama1,Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ACU-HIJAMA1,INC

Practice address

2644 Dempster St Ste 112
Park Ridge, IL 60068-8430

Phone

(847) 414-4080

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By 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

Amal Khaled, LAC, MSOMNPI 1427684893

Title

Ceo

Phone

(847) 414-4080

Specialties & licenses 1

Addresses

Locations

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.

• Amal Khaled, LAC, MSOM

  • Acupuncturist
  • Beach Park, IL
  • NPI 1427684893
  NPD Authorized official

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1689331316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 DEMPSTER ST STE 112",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688430",
            "telephone_number": "847-414-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 DEMPSTER ST STE 112",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688430",
            "telephone_number": "847-414-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACU-HIJAMA1,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "KHALED",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-414-4080",
        "authorized_official_credential": "LAC, MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.