Active NPI
Kim Close, L.AC.
- Acupuncturist
- Evanston, IL
National Provider Identifier
1750623153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.000926
- Practice address
- 1840 Oak Ave
Evanston, IL 60201-3642 - Phone
- (773) 307-9128
- NPI assigned
- Mar 23, 2013
- 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 | 198.000926 | IL | Primary |
Addresses
Primary practice location
1840 Oak Ave
Evanston, IL 60201-3642
Mailing address
7524 N Rogers Ave
Chicago, IL 60626-1710
Phone (773) 307-9128
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 |
|---|---|---|---|
| 198.000926 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363996800000",
"number": "1750623153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7524 N ROGERS AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606261710",
"telephone_number": "773-307-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 OAK AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013642",
"telephone_number": "773-307-9128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "KIM",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-23",
"last_updated": "2013-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.