Shaofen Ai, DC LAC
Individual provider Active NPI Chiropractor · Palatine, IL
NPI 1861597809 · NPPES record last updated Mar 14, 2011
Key facts
- NPI
- 1861597809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038006750 (IL)
- Practice address
- 15 E Northwest Hwy
Suite 15B
Palatine, IL 60067 - Phone
- (847) 358-0890
- Fax
- (847) 358-6390
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198000251 | IL | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006750 | IL | Yes |
| Acupuncturist | 171100000X | 198000251 | IL |
Addresses
Primary practice location
15 E Northwest Hwy
Suite 15B
Palatine, IL 60067
Mailing address
15 E Northwest Hwy
Suite 15B
Palatine, IL 60067
Phone (847) 358-0890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1627886 | Other | IL | BCBS |
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.