MEDICARE: FIVE POINT HOLISTIC HEALTH

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	101YP2500X	Professional Counselor
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1578086732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIVE POINT HOLISTIC HEALTH

Provider Business Mailing Address
First Line	:	3234 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2594
Country	:	US
Telephone Number	:	773-466-9882
Fax Number	:

Provider Business Practice Location Address
First Line	:	2866 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-7413
Country	:	US
Telephone Number	:	773-466-9882
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	RYAN PALMA
Credential	:	L.AC
Telephone Number	:	773-466-9882

Provider Enumeration Date	:	07/19/2017
Last Update Date	:	11/24/2025

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