Organization Active NPI

Ladesic Acupuncture LLC

Doing business as Restorative Acupuncture & Wellness

  • Acupuncturist
  • Libertyville, IL
National Provider Identifier
1912509704
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LADESIC ACUPUNCTURE LLC
Doing business as
Restorative Acupuncture & Wellness
Practice address
1113 S Milwaukee Ave Ste 201
Libertyville, IL 60048-3777
Phone
(847) 607-9957
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Albert Ladesic, L.AC.NPI 1295378032
Title
Managing Member
Phone
(847) 607-9957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1113 S Milwaukee Ave Ste 201
Libertyville, IL 60048-3777

Mailing address

16 Reliance LN
Lincolnshire, IL 60069-3253
Phone (847) 607-9957

Other names 1

  • Restorative Acupuncture & Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address al@restorativeacu.com Direct

National Provider Directory

National Provider Directory

Locations

1113 S Milwaukee Ave
Ste 201
Libertyville, IL 60048
Phone (847) 388-0831

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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1912509704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RELIANCE LN",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693253",
            "telephone_number": "847-607-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE STE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483777",
            "telephone_number": "847-607-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADESIC ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "LADESIC",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-607-9957",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "al@restorativeacu.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1113 S Milwaukee Ave Ste 201",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restorative Acupuncture & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.