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Active NPI 1083438287 Individual Practitioner Female Practitioner

Theresa Beth Johnson , LAC

Acupuncturist • Roscoe, IL

Professional Overview & Biography Verified Profile Summary

Theresa Johnson, LAC is a registered healthcare professional specializing in Acupuncturist in Roscoe, IL. Practice services are available at 9241 STARBOARD DR STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9241 Starboard Dr Ste C

Roscoe, IL 610736348

Telephone 8152279429

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Roscoe, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Roscoe, IL (792 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-13
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License IL 198.000989

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2024

Registered at 9241 STARBOARD DR STE C, ROSCOE, IL 610736348 (Tel: 8152279429)

📍
Updated Business Mailing Address November 13, 2024

Registered at 8896 BURR OAK RD, ROSCOE, IL 610737870 (Tel: 8283018765)

👤
Provider Name / Credentials Updated November 13, 2024

Recorded as THERESA JOHNSON, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2024

Acupuncturist (License #198.000989 in IL)

🟢
Initial NPI Registration & Enumeration November 13, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083438287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2024
Last Update: November 13, 2024
Sole Proprietor: Yes

Mailing Address

8896 Burr Oak Rd

Roscoe, IL 610737870

Phone: 8283018765

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.