Nicole Nola Rousonelos, DAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.001651 Issued in IL

Practice address

1339 W Devon Ave
Chicago, IL 60660-1329

Phone

(773) 293-7642

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1881448603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 N PAULINA ST APT 2D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405326",
            "telephone_number": "815-955-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601329",
            "telephone_number": "773-293-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSONELOS",
        "first_name": "NICOLE",
        "middle_name": "NOLA",
        "name_prefix": "Dr.",
        "credential": "DAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bridget Rourke, DNP
• Viktoriya Rouse-Freeman
• Denise E Rouse
• Lindsay Rouse, M.S.ED., BCBA
• Mallory Catherine Roushar, PA
• Abigail Claire Rousseau
• Estelle Irene Rousseau, MD
• Jennifer Burton Rousseau, APRN
• Heather Roussel, OTR, ATP
• Stephanie Rousset

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.