Active NPI
Emma Gayle O'Neil
- Acupuncturist
- Chicago, IL
National Provider Identifier
1851090468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001622
- Practice address
- 4555 N Lincoln Ave
Chicago, IL 60625-2102 - Phone
- (773) 598-4387
- NPI assigned
- Mar 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198.001622 | IL | Primary |
Addresses
Primary practice location
4555 N Lincoln Ave
Chicago, IL 60625-2102
Mailing address
4555 N Lincoln Ave
Chicago, IL 60625-2102
Phone (773) 598-4387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198.001622 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Wellness LLC | Acupuncturist | Past | Accepting new patients |
| Active Wellness, LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1851090468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252102",
"telephone_number": "773-598-4387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252102",
"telephone_number": "773-598-4387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEIL",
"first_name": "EMMA",
"middle_name": "GAYLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 2, 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.