LOUIS THOMAS DISTASIO L.AC. NPI 1629153085

NPI Information

NPI: 1629153085
Provider Name: LOUIS THOMAS DISTASIO, L.AC.
Classification: Acupuncturist - 171100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
716 S 2ND ST.
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 544-8118
Get Directions

Louis Thomas Distasio, L.AC. is an acupuncturist in Springfield, IL with 46 years of experience. The provider is 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. Louis Thomas Distasio, L.AC. NPI is 1629153085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NATIONAL COLLEGE OF CHIROPRACTIC
Graduation Year:1978

The provider's business location address is:

716 S 2ND ST.
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 544-8118
Fax: (217) 544-8008

The NPI 1629153085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/26/2006 and was last updated on 12/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		198000025	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8482034	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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