GRAINNE MCKEOWN ACUPUNCTURE CORP. (NPI# 1063996239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063996239 |
| Entity Type | Organization |
| Organization Name | GRAINNE MCKEOWN ACUPUNCTURE CORP. |
| Practice Address |
1011 W Wellington Ave Ste 220 Chicago IL 60657-7187 |
| Practice Telephone | 7733382309 |
| Mailing Telephone | 7733382309 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | MS. GRAINNE MCKEOWN (PROVIDER) |
| Authorized Official Telephone | 7733382309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1011 W WELLINGTON AVE STE 220 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-7187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871860874 | Cindy Kudelka | Acupuncturist | 1011 W Wellington Ave Ste 220, Chicago, IL 60657-7187 | 2011-11-19 |
| 1659978856 | Derek Becker | Acupuncturist | 1011 W Wellington Ave Ste 220, Chicago, IL 60657-7187 | 2020-10-01 |
| 1215428032 | Health Traditions, LLC | Acupuncturist | 1011 W Wellington Ave Ste 220, Chicago, IL 60657-7187 | 2018-05-29 |
| 1992251904 | Priscilla Peach Lang | Acupuncturist | 1011 W Wellington Ave Ste 220, Chicago, IL 60657-7187 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899788 | Neuro Drive Pt, Pllc | Clinic/Center | 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 | 2020-10-21 |
| 1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1184122509 | First Call Network, LLC | Clinic/Center | 8725 W Higgins Rd Ste 110, Chicago, IL 60631-2710 | 2018-01-31 |
| 1164952362 | Franklin Eye Care, LLC | Clinic/Center | 227 W Monroe St Lbby 160, Chicago, IL 60606-5091 | 2017-06-19 |
| 1770027567 | Eating Recovery Center | Clinic/Center | 3121 Augusta Blvd, Apt 3, Chicago, IL 60622 | 2016-12-13 |
| 1619428273 | 360 Active Recovery | Clinic/Center | 2221 W North Ave, #1, Chicago, IL 60647-5429 | 2016-10-19 |
| 1992158562 | Illinois Wellness and Weight Loss Centers Sc | Clinic/Center | 9933 South Western Avenue, Suite 200, Chicago, IL 60643-1810 | 2016-07-19 |
| Find all providers in CHICAGO | ||||
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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.