Individual provider Active NPI

Michaela Lacko, LAC, MSOM

  • Acupuncturist
  • Wheaton, IL
National Provider Identifier
1982350476
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001554 Issued in IL
Practice address
213 S Wheaton Ave
Wheaton, IL 60187-5207
Phone
(614) 419-3704
NPI assigned
Feb 23, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001554 IL Primary

Addresses

Primary practice location

213 S Wheaton Ave
Wheaton, IL 60187-5207

Mailing address

213 S Wheaton Ave
Wheaton, IL 60187-5207
Phone (614) 419-3704

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
198.001554ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1982350476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S WHEATON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875207",
            "telephone_number": "614-419-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S WHEATON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875207",
            "telephone_number": "614-419-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKO",
        "first_name": "MICHAELA",
        "credential": "LAC, MSOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.