Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Iacullo

Individual provider Acupuncturist · NPI 1710828769

Carly Iacullo is an Acupuncturist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
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Practice location Address checks out

1111 W Madison St Ste 2
Chicago, IL 60607-2055
Phone: (773) 234-1042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 198.011985 (IL)

Record details

NPI number1710828769
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address121 W Chestnut St Apt 1308, Chicago, IL 60610-3155

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