Active NPI
Cindy Kudelka, LAC, MSTOM
- Acupuncturist
- Chicago, IL
National Provider Identifier
1871860874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.000991
- Practice address
- 1011 W Wellington Ave Ste 220
Chicago, IL 60657-7187 - Phone
- (847) 579-9882
- NPI assigned
- Nov 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 198.000991 | IL | Primary |
Addresses
Primary practice location
1011 W Wellington Ave Ste 220
Chicago, IL 60657-7187
Mailing address
4308 W 55TH St
Chicago, IL 60632-4628
Other practice location 1
2522 N Lincoln Ave
Chicago, IL 60614-2352
Phone (773) 296-6700
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 |
|---|---|---|---|
| 198.000991 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Meier, Inc | Past | Accepting new patients | |
| Wholehealth Chicago-3 | 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.
-
- Physical Therapist
- Chicago, IL
- NPI 1417287087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1871860874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 W 55TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606324628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W WELLINGTON AVE STE 220",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577187",
"telephone_number": "847-579-9882"
}
],
"practiceLocations": [
{
"address_1": "2522 N Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606142352",
"country_code": "US",
"telephone_number": "773-296-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUDELKA",
"first_name": "CINDY",
"credential": "LAC, MSTOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000991",
"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, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.