Central Illinois Acupuncture, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198000946 Issued in IL

Legal business name

CENTRAL ILLINOIS ACUPUNCTURE, INC.

Practice address

313 Astoria Rd
Springfield, IL 62704-1247

Phone

(217) 622-4845

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Tobias D Donaker, LAC

Title

Ceo

Phone

(217) 622-4845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1962711176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 ASTORIA RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041247",
            "telephone_number": "217-622-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 ASTORIA RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041247",
            "telephone_number": "217-622-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "DONAKER",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-622-4845",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198000946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.