Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES BLAINE ILLINGWORTH IV, DIPL.AC., L.AC.
Active Sole ProprietorMR. CHARLES BLAINE ILLINGWORTH IV, DIPL.AC., L.AC. is a Acupuncturist healthcare provider located in LANSDALE, Pennsylvania. NPI 1356813059 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · LANSDALE, PA
Registration Details
- NPI Number
- 1356813059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2018 (7.6729711763508 yrs)
- Last Updated
- Dec 19, 2018
- License
-
AK001285 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
601 E MAIN STLANSDALE, PA, 194462947Browse PA providers · Browse ZIP 19446
- Phone
- 6107243284
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in LANSDALE, PA
| Name | Credential | NPI |
|---|---|---|
| WALTER HACKETT III | — | 1225271141 |
| KATHERINE GHEN | LIC. ACUPUNCTURIST | 1801121645 |
| MS. KIMBERLY ANN SMITH NIEZGODA | M.AC., L.AC. | 1891017927 |
| DR. MINCHUN CHEN | MD,PHD,L OM | 1083937163 |
| JANITA TOPAN | L.OM, DIPL.OM, MSTCM | 1447680319 |
| MS. JUDY GIOVINAZZO SPAGNOLA | LAC | 1205393428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.