Organization Active NPI

Cyclemy, Inc

Doing business as South Side Acupuncture & Herbs

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1811682966
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
CYCLEMY, INC
Doing business as
South Side Acupuncture & Herbs
Practice address
2501 W 103Rd St Ste B05
Chicago, IL 60655-1007
Phone
(773) 905-2112
NPI assigned
Apr 5, 2023
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Jaquelyn Leigh Taylor, L.ACNPI 1790033108
Title
Owner
Phone
(773) 905-2112

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

2501 W 103Rd St Ste B05
Chicago, IL 60655-1007

Mailing address

2501 W 103Rd St Ste B05
Chicago, IL 60655-1007
Phone (773) 905-2112

Other names 1

  • South Side Acupuncture & Herbs Doing business as

National Provider Directory

National Provider Directory

Locations

2501 W 103rd St
Ste B05
Chicago, IL 60655
Phone (773) 905-2112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1811682966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 103RD ST STE B05",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551007",
            "telephone_number": "773-905-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 103RD ST STE B05",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551007",
            "telephone_number": "773-905-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYCLEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAQUELYN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-905-2112",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Side Acupuncture & Herbs",
            "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 Apr 5, 2023; 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.