Active NPI
Stephanie Lynn Marynus, LAC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1891260147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.001325
- Practice address
- 1448 N Milwaukee Ave FL 3
Chicago, IL 60622-9225 - Phone
- (815) 343-1263
- NPI assigned
- Oct 12, 2018
- 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 | 198.001325 | IL | Primary |
Addresses
Primary practice location
1448 N Milwaukee Ave FL 3
Chicago, IL 60622-9225
Mailing address
2814 7TH St
Peru, IL 61354-2430
Phone (815) 343-1263
Other practice location 1
770 N LaSalle
Suite 800
Chicago, IL 60654
Phone (312) 957-6235
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 |
|---|---|---|---|
| 198.001325 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1891260147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 7TH ST",
"city": "PERU",
"state": "IL",
"postal_code": "613542430",
"telephone_number": "815-343-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 N MILWAUKEE AVE FL 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606229225",
"telephone_number": "815-343-1263"
}
],
"practiceLocations": [
{
"address_1": "770 N LaSalle",
"address_2": "Suite 800",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60654",
"country_code": "US",
"telephone_number": "312-957-6235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARYNUS",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.001325",
"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 Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.