Organization Active NPI

Northern Illinois Holistic Medicine, Inc.

Doing business as DuPage Acupuncture Clinic

  • Clinic/Center
  • Naperville, IL
National Provider Identifier
1871126474
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHERN ILLINOIS HOLISTIC MEDICINE, INC.
Doing business as
DuPage Acupuncture Clinic
Practice address
29 S Webster St Ste 250
Naperville, IL 60540-4560
Phone
(630) 355-9498
NPI assigned
Feb 21, 2020
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Dave Mayer, MSOM, LAC.
Title
Owner
Phone
(630) 355-9498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

29 S Webster St Ste 250
Naperville, IL 60540-4560

Mailing address

29 S Webster St Ste 250
Naperville, IL 60540-4560
Phone (630) 355-9498

Other names 1

  • DuPage Acupuncture Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

29 S Webster St
Ste 250
Naperville, IL 60540
Phone (630) 355-9498

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": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1871126474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 250",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404560",
            "telephone_number": "630-355-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 250",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404560",
            "telephone_number": "630-355-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS HOLISTIC MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-355-9498",
        "authorized_official_credential": "MSOM, LAC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage Acupuncture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.