Active NPI
Rooted Acupuncture Medicine PLLC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1780425157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- ROOTED ACUPUNCTURE MEDICINE PLLC
- Practice address
- 2915 N Lincoln Ave
Chicago, IL 60657-4108 - Phone
- (312) 298-9577
- NPI assigned
- Jun 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justina Pham
- Title
- Owner
- Phone
- (773) 969-0452
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
2915 N Lincoln Ave
Chicago, IL 60657-4108
Mailing address
2915 N Lincoln Ave
Chicago, IL 60657-4108
Phone (773) 969-0452
Other names 1
- Rooted Acupuncture
National Provider Directory
National Provider DirectoryLocations
2915 N Lincoln Ave
Chicago, IL 60657
Phone (312) 298-9577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Chicago, IL
- NPI 1144840836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717200000000",
"number": "1780425157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574108",
"telephone_number": "773-969-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574108",
"telephone_number": "312-298-9577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED ACUPUNCTURE MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-01",
"last_updated": "2024-06-01",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "JUSTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-969-0452"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rooted Acupuncture",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.