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

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NPI Details

Louis Thomas Distasio, L.AC. is an acupuncturist in Springfield, IL. 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.

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 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
1171100000XAcupuncturist198000025ILLINOISYes

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
18482034OTHERILLINOISBLUE 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: 11/21/2025

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