Individual provider Active NPI

Mary Ann Lukin, LAC

  • Acupuncturist
  • Oak Lawn, IL
National Provider Identifier
1891361911
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001558 Issued in IL
Practice address
4700 W 95TH St Lowr Level
Oak Lawn, IL 60453-2533
Phone
(312) 989-4996
NPI assigned
May 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001558 IL Primary

Addresses

Primary practice location

4700 W 95TH St Lowr Level
Oak Lawn, IL 60453-2533

Mailing address

10830 Kilpatrick Ave Apt 1NE
Oak Lawn, IL 60453-5459
Phone (773) 991-2604

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

LicenseStateTypeSpecialty
198001558ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1891361911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 KILPATRICK AVE APT 1NE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535459",
            "telephone_number": "773-991-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST LOWR LEVEL",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532533",
            "telephone_number": "312-989-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKIN",
        "first_name": "MARY ANN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.