Innervital Wabash PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INNERVITAL WABASH PLLC

Practice address

111 N Wabash Ave Ste 1801
Chicago, IL 60602-2975

Phone

(312) 244-5555

NPI assigned

Aug 20, 2026

Last updated

Aug 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jean-Rafael Roger Heiz, L.AC.

Title

Member-Manager

Phone

(312) 244-2555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1801702691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W WACKER DR STE 120-2357",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061217",
            "telephone_number": "312-244-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022975",
            "telephone_number": "312-244-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVITAL WABASH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "HEIZ",
        "authorized_official_first_name": "JEAN-RAFAEL",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "312-244-2555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.