Active NPI
Lana Moshkovich, L.AC
- Acupuncturist
- Northbrook, IL
National Provider Identifier
1740686492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001239
- Practice address
- 1500 Shermer Rd Ste LL29
Northbrook, IL 60062 - Phone
- (847) 715-9044
- Fax
- (847) 564-2100
- NPI assigned
- Nov 7, 2014
- Last updated
- Aug 13, 2018
- 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 | 198001239 | IL | Primary |
Addresses
Primary practice location
1500 Shermer Rd Ste LL29
Northbrook, IL 60062
Mailing address
905 Tamer LN
Glenview, IL 60025-3768
Phone (847) 508-1470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198001239 | Other | IL | LICENSE |
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 |
|---|---|---|---|
| 198001239 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nirvana Naturopathics, LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Northbrook, IL
- NPI 1952709891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1740686492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 TAMER LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253768",
"telephone_number": "847-508-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SHERMER RD STE LL29",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062",
"telephone_number": "847-715-9044",
"fax_number": "847-564-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHKOVICH",
"first_name": "LANA",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "198001239",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.