Organization Active NPI

Green Wellness Center, Inc

  • Acupuncturist
  • Arlington HTS, IL
National Provider Identifier
1821319690
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198000739 Issued in IL
Legal business name
GREEN WELLNESS CENTER, INC
Practice address
342 E Golf Rd
Arlington HTS, IL 60005-4008
Phone
(847) 427-5678
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Hyun Sook Kim
Title
Acupuncturist
Phone
(847) 971-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 198000739 IL Primary

Addresses

Primary practice location

342 E Golf Rd
Arlington HTS, IL 60005-4008

Mailing address

342 E Golf Rd
Arlington HTS, IL 60005-4008

Other identifiers 1

IdentifierTypeStateIssuer
198000739OtherILLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1821319690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E GOLF RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E GOLF RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054008",
            "telephone_number": "847-427-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "847-971-5129"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "198000739",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.