Active NPI
Ivan Narkevitch, L.AC.
- Acupuncturist
- Buffalo Grove, IL
National Provider Identifier
1730350877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000632
- Practice address
- 985 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3702 - Phone
- (847) 681-1161
- Fax
- (847) 681-1161
- NPI assigned
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198000632 | IL | Primary |
| Massage Therapist | 225700000X | 227014581 | IL |
Addresses
Primary practice location
985 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3702
Mailing address
4711 Golf Rd
Suite # 525
Skokie, IL 60076-1224
Phone (847) 525-0048
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 |
|---|---|---|---|
| 198000632 | IL | MD | Acupuncturist |
| 227014581 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1730350877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE # 525",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-525-0048",
"fax_number": "847-675-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 S BUFFALO GROVE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893702",
"telephone_number": "847-681-1161",
"fax_number": "847-681-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARKEVITCH",
"first_name": "IVAN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000632",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227014581",
"primary": false
}
],
"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 18, 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.