LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC. NPI 1861871063

NPI Information

NPI: 1861871063
Provider Name: LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC.
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
1147 N GREEN BAY RD
WAUKEGAN, IL
ZIP 60085
Phone: (847) 672-4801
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LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC. is an acupuncturist in Waukegan, 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. LONGEVITY ACUPUNCTURE & HERBAL CLINIC LLC. NPI is 1861871063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1147 N GREEN BAY RD
WAUKEGAN, IL
ZIP 60085
Phone: (847) 672-4801

The provider's authorized official is Harry Chong .
The authorized official title is President and has the following contact phone number (847) 672-4801.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 11/26/2018.

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				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	198001130	OTHER	ILLINOIS	171100000X
2	152423	OTHER		NCCAOM

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: 4/28/2024

NPI Synchronization or Removal

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