Organization Active NPI

Herb & Tao Acupuncture and Wellness

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1992275804
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HERB & TAO ACUPUNCTURE AND WELLNESS
Practice address
47 W Polk St Ste M5
Chicago, IL 60605-2088
Phone
(312) 971-7291
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Janelle JeffersonNPI 1881164796
Title
LLC Manager
Phone
(708) 679-4091

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

47 W Polk St Ste M5
Chicago, IL 60605-2088

Mailing address

1700 E 56TH St Apt 2003
Chicago, IL 60637-5086

National Provider Directory

National Provider Directory

Locations

47 W Polk St
Ste M5
Chicago, IL 60605
Phone (312) 796-3965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1992275804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 56TH ST APT 2003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W POLK ST STE M5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052088",
            "telephone_number": "312-971-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERB & TAO ACUPUNCTURE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "708-679-4091"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Jul 20, 2023; 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.