MEDICARE: COURAGEOUS HEART ACUPUNCTURE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1396604070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURAGEOUS HEART ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	2501 CHATHAM RD STE N
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62704-4188
Country	:	US
Telephone Number	:	773-312-6682
Fax Number	:

Provider Business Practice Location Address
First Line	:	1757 N KIMBALL AVE STE 109
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4805
Country	:	US
Telephone Number	:	773-312-6682
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELEANOR FOLEY
Credential	:	LAC
Telephone Number	:	773-312-6682

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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