Active NPI
Carlin C Park, L.AC
- Acupuncturist
- Schaumburg, IL
National Provider Identifier
1730433962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001107
- Practice address
- 21 Kristin Dr
Unit 1210
Schaumburg, IL 60195-3398 - Phone
- (773) 895-3908
- NPI assigned
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 198.001107 | IL | Primary |
Addresses
Primary practice location
21 Kristin Dr
Unit 1210
Schaumburg, IL 60195-3398
Mailing address
21 Kristin Dr
Unit 1210
Schaumburg, IL 60195-3398
Phone (773) 895-3908
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 |
|---|---|---|---|
| 198.001107 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1730433962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 KRISTIN DR",
"address_2": "UNIT 1210",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953398",
"telephone_number": "773-895-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 KRISTIN DR",
"address_2": "UNIT 1210",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953398",
"telephone_number": "773-895-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "CARLIN",
"middle_name": "C",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.