Individual provider Active NPI

Sophia Bilikovsky, DACM

  • Acupuncturist
  • Libertyville, IL
National Provider Identifier
1780299818
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001512 Issued in IL
Practice address
872 S. Milwaukee Ave.
Suite 78
Libertyville, IL 60048-6004
Phone
(847) 220-8573
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Nutrition Education Nutritionist 133NN1002X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Community Health Worker 172V00000X
Reflexologist 173C00000X
Meals Provider 174200000X
Rehabilitation Counselor 225C00000X
Nursing Care Agency 251J00000X
Pain Clinic/Center 261QP3300X
Day Training/Habilitation Specialist 373H00000X
Home Health Aide 374U00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 198.001512 IL Primary

Addresses

Primary practice location

872 S. Milwaukee Ave.
Suite 78
Libertyville, IL 60048-6004

Mailing address

872 S Milwaukee Ave Ste 78
Libertyville, IL 60048-3227
Phone (847) 220-8573

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL info@integrativeservicesgroup.com Direct
SOAP URL Libertyville Direct

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

LicenseStateTypeSpecialty
198.001512ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1780299818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 S MILWAUKEE AVE STE 78",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227",
            "telephone_number": "847-220-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 S. MILWAUKEE AVE.",
            "address_2": "SUITE 78",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600486004",
            "telephone_number": "847-220-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILIKOVSKY",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-02-04",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@integrativeservicesgroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "67 E Oak St STE 5W Chicago IL 60611",
            "address_1": "67 E Oak St Ste 5W",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606116801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Libertyville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "872 S Milwaukee Ave Ste 78",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.