FIVE PHASE WELLNESS CENTER, LLC (NPI# 1265726178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265726178 |
| Entity Type | Organization |
| Organization Name | FIVE PHASE WELLNESS CENTER, LLC |
| Practice Address |
708 Main St Evanston IL 60202-1702 |
| Practice Telephone | 8479050440 |
| Mailing Telephone | 8479050440 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | DR. RYAN LOMBARDO (WELLNESS DIRECTOR) |
| Authorized Official Telephone | 8479050440 |
| Authorized Official Credential | DAOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 198000495 | IL | Other Service Providers |
| Street Address |
708 MAIN ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639462757 | Acuhealth Associates, P.C. | Acupuncturist | 708 Main St, Five Phase Wellness Center, Evanston, IL 60202-1702 | 2011-05-23 |
| 1770747586 | Ryan Lombardo | Acupuncturist | 708 Main St, Evanston, IL 60202-1702 | 2008-07-11 |
| 1922267475 | Soul Choice Counseling, Ltd | Social Worker | 708 Main St, 2nd Floor, Evanston, IL 60202-1702 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992442 | Madalen Brooks | Acupuncturist | 1601 Sherman Ave Ste 200, Evanston, IL 60201-5044 | 2020-08-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1487197604 | Jennifer Bowden | Acupuncturist | 831 Dodge Ave, Evanston, IL 60202-1552 | 2016-11-19 |
| 1568917300 | Robyn Starkey | Acupuncturist | 1234 Sherman Ave, Evanston, IL 60202-1375 | 2016-08-22 |
| 1821412461 | Lisa Meyerson | Acupuncturist | 1234 Sherman, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2014-02-18 |
| 1891133237 | Bonny Rhoads | Acupuncturist | 915 Elmwood Ave, Evanston, IL 60202 | 2013-06-07 |
| 1801230156 | Kuan-ren Su | Acupuncturist | 1236 Chicago Ave, Unit 401, Evanston, IL 60202-6509 | 2013-04-17 |
| 1609148899 | Alexander Dold | Acupuncturist | 1321 Emerson St, #2w, Evanston, IL 60201-3526 | 2012-02-02 |
| 1912291154 | Mark Michael Sobralske | Acupuncturist | 1818 Dempster Street, Evanston, IL 60202 | 2011-06-06 |
| 1497080444 | Helen Rose Pickering | Acupuncturist | 636 Church St Ste 505, Evanston, IL 60201-4581 | 2009-10-08 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.