MEDICARE: SHENG GUO NCCAOM

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	198.001333	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	164146	OTHER	IL	NCCAOM

General Provider Information

NPI Number	:	1912449257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENG GUO NCCAOM

Provider Business Mailing Address
First Line	:	3110 W IRVING PARK RD
Second Line	:	APT #2
City	:	CHICAGO
State	:	IL
Zip	:	60618-3406
Country	:	US
Telephone Number	:	630-333-2018
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 W IRVING PARK RD
Second Line	:	APT #2
City	:	CHICAGO
State	:	IL
Zip	:	60618-3406
Country	:	US
Telephone Number	:	630-333-2018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2016
Last Update Date	:	11/16/2016

Similar Medicare Providers

1073599775 — JASMINKA KOSTIC MD
Practice Location Address:

3114 W IRVING PARK RD
CHICAGO, IL
60618-3406

Practice Phone: 773-588-6680
Practice Fax: 773-588-6451

1851362495 — MILENA APPLEBY MD
Practice Location Address:

3114 W IRVING PARK RD
CHICAGO, IL
60618-3406

Practice Phone: 773-588-6680
Practice Fax: 773-588-6451

1154471100 — H&R NEUROPSYCHIATRY LTD
Practice Location Address:

3114 W IRVING PARK RD
CHICAGO, IL
60618-3406

Practice Phone: 773-588-6680
Practice Fax:

1033315338 — JASMINKA KOSTIC, M.D.,S.C.
Practice Location Address:

3114 W IRVING PARK RD
CHICAGO, IL
60618-3406

Practice Phone: 773-588-6680
Practice Fax: 773-588-6451

1336607571 — JEFFRE KATHERINE YOUNGBLOOD COTA/L
Practice Location Address:

3406 W BERTEAU AVE APT 1
CHICAGO, IL
60618-2208

Practice Phone: 843-860-0151
Practice Fax:

1154343358 — PAUL GILBERT MD
Practice Location Address:

57 E DELAWARE PL , 3406
CHICAGO, IL
60611-1476

Practice Phone: 312-951-5800
Practice Fax:

Directions to “ SHENG GUO NCCAOM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.