NPIMap

Organization Active NPI

Healing Arts of Oriental Medicine

  • Acupuncturist
  • Deerfield, IL
National Provider Identifier
1770827040
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000621 Issued in IL
Legal business name
HEALING ARTS OF ORIENTAL MEDICINE
Practice address
405 Lake Cook Rd
Ste 211
Deerfield, IL 60015-4993
Phone
(847) 845-4090
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Anatoliy Pak, LAC
Title
President
Phone
(847) 845-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198.000621 IL Primary

Addresses

Primary practice location

405 Lake Cook Rd
Ste 211
Deerfield, IL 60015-4993

Mailing address

405 Lake Cook Rd
Ste 211
Deerfield, IL 60015-4993
Phone (847) 845-4090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1770827040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "address_2": "STE 211",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "847-845-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE COOK RD",
            "address_2": "STE 211",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154993",
            "telephone_number": "847-845-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ARTS OF ORIENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "ANATOLIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-845-4090",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.