Roza Kostadinova Azmanova, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000872 Issued in IL

Practice address

1400 Renaissance Dr
Suite 102
Park Ridge, IL 60068-1329

Phone

(224) 381-6319

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

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

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1780954644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 WICKE AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181716",
            "telephone_number": "224-381-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RENAISSANCE DR",
            "address_2": "SUITE 102",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681329",
            "telephone_number": "224-381-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMANOVA",
        "first_name": "ROZA",
        "middle_name": "KOSTADINOVA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haider Attarwala, DO
• Ekta Kaur Aulakh-Patel, LCPC
• Avantara Park Ridge LLC (Avantara Park Ridge)
• Avenues to Independence
• Dominique V Azarcon, PA-C
• B2B Global USA, Inc (Exclusive Medical Supplies and Services)
• Raja M. Bahu, M.D.
• Kellyn Bailey, OTR/L
• Mackenzie Ann Bailey, BS
• Alan Frederick Bain, D.O.

• Acupuncturist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.