Elizabeth Proctor, L. AC., DIPL. OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198000986 Issued in IL

Practice address

402 Campbell St Ste 100
Geneva, IL 60134-2669

Phone

(630) 208-4678

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Acupuncture Health Solutions LLC

  • Acupuncturist
  • Geneva, IL
  • NPI 1093523631
  NPD Authorized official
• Galvez & Valle LLC

  • Adult Mental Health Clinic/Center
  • Aurora, IL
  • NPI 1518766856
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1740960608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 LILAC LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407341",
            "telephone_number": "314-249-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CAMPBELL ST STE 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342669",
            "telephone_number": "630-208-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "ELIZABETH",
        "credential": "L. AC., DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Reza Poustinchian, D.O.
• George Powell, M.D.
• Vasanthi Prabhaker, RD
• Prairie Path Podiatry, P.C.
• Jeanna Pritchett, MA
• Kelsey Proctor
• Arthur Proust, M.D.
• Provena Imaging Services Inc
• Provena Senior Services
• Michelle Pytel, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.