Individual provider Active NPI

Christian Villacres, MSTOM

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1972052124
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001344 Issued in IL
Practice address
1834 W North Ave
Suite 1
Chicago, IL 60622-1312
Phone
(773) 227-9150
Fax
(773) 227-9160
NPI assigned
Sep 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001344 IL Primary

Addresses

Primary practice location

1834 W North Ave
Suite 1
Chicago, IL 60622-1312

Mailing address

1834 W North Ave
Suite 1
Chicago, IL 60622-1312
Phone (773) 227-9150

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
198.001344ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Avondale Acupuncture LLC Acupuncturist CurrentSince Dec 14, 2025 Accepting new patients
Buddha Hand Health and Coaching LLC Acupuncturist CurrentSince Mar 11, 2025 Accepting new patients
Alternative Health Group LLC Acupuncturist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1972052124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W NORTH AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221312",
            "telephone_number": "773-227-9150",
            "fax_number": "773-227-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W NORTH AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221312",
            "telephone_number": "773-227-9150",
            "fax_number": "773-227-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACRES",
        "first_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "MSTOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001344",
            "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 Sep 29, 2016; 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.