Organization Active NPI

Michelle Polk Acupuncture

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1851772834
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001227 Issued in IL
Legal business name
MICHELLE POLK ACUPUNCTURE
Practice address
3166 N Lincoln Ave Ste 405
Chicago, IL 60657-3119
Phone
(847) 769-3312
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Michelle Polk, L.ACNPI 1861881856
Title
Acupuncturist
Phone
(847) 769-3312

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 198.001227 IL Primary

Addresses

Primary practice location

3166 N Lincoln Ave Ste 405
Chicago, IL 60657-3119

Mailing address

1479 W Winona St
Chicago, IL 60640-6819
Phone (847) 769-3312

National Provider Directory

National Provider Directory

Locations

3166 N Lincoln Ave
Ste 405
Chicago, IL 60657
Phone (260) 232-2063

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": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1851772834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W WINONA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406819",
            "telephone_number": "847-769-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "847-769-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE POLK ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "847-769-3312",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001227",
            "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 Jun 15, 2015; 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.