LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC. (NPI# 1861871063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861871063 |
| Entity Type | Organization |
| Organization Name | LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC. |
| Practice Address |
1147 N Green Bay Rd Waukegan IL 60085 |
| Mailing Address |
1147 N Green Bay Rd Waukegan IL 60085-2243 |
| Practice Telephone | 8476724801 |
| Mailing Telephone | 8476724801 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | HARRY CHONG (PRESIDENT) |
| Authorized Official Telephone | 8476724801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 171100000X | 198001130 | 01 |
| NCCAOM | 152423 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1360 N Green Bay Rd, Waukegan, IL 600851104 | 8476724801 |
| Street Address |
1147 N GREEN BAY RD |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699197780 | Harry Chong | Acupuncturist | 1147 N Green Bay Rd, Waukegan, IL 60085-2243 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| 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 |
|---|---|---|---|---|
| 1790339091 | Maricela Simon | Acupuncturist | 2504 Washington St Ste 205-e, Waukegan, IL 60085-4960 | 2019-07-25 |
| 1699197780 | Harry Chong | Acupuncturist | 1147 N Green Bay Rd, Waukegan, IL 60085-2243 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920759 | Burdock & Clove Wellness LLC | Acupuncturist | 2052 W Addison St # 2, Chicago, IL 60618-6126 | 2020-10-23 |
| 1588279178 | Jaclyn Krizek | Acupuncturist | 5006 Main St, Downers Grove, IL 60515-3643 | 2020-09-10 |
| 1033723432 | Chona Estacio | Acupuncturist | 209 Whitewater Dr, Bolingbrook, IL 60440-1744 | 2020-09-02 |
| 1750992442 | Madalen Brooks | Acupuncturist | 1601 Sherman Ave Ste 200, Evanston, IL 60201-5044 | 2020-08-14 |
| 1164033361 | Donna Weisensel | Acupuncturist | 4708 Southhampton Dr, Island Lake, IL 60042-8470 | 2020-08-11 |
| 1700404035 | Kunevich Chiropractic and Acupuncture, Pllc | Acupuncturist | 13 S Main St Ste 3, Smithton, IL 62285-1705 | 2020-07-13 |
| 1053938571 | Anna Maria Degrassi-kalkis | Acupuncturist | 18700 Wolf Rd Ste 211, Mokena, IL 60448-8603 | 2020-06-30 |
| 1134746928 | Irene Joy Walters | Acupuncturist | 11901 S 80th Ave Ste 1, Palos Park, IL 60464-3107 | 2020-06-29 |
| 1932726767 | Crystalyn Gembala Sehr | Acupuncturist | 1191 E Higgins Rd Ste 201, Elk Grove Village, IL 60007-1563 | 2020-06-27 |
| 1689291684 | Erin Ryan | Acupuncturist | 457 Coventry Ln Ste 122, Crystal Lake, IL 60014-7571 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.