Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Blaine Illingworth IV, DIPLAC, LAC

Individual provider Acupuncturist · NPI 1356813059

Mr. Charles Blaine Illingworth IV, DIPLAC, LAC is an Acupuncturist in Lansdale, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2018
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

601 E Main St
Lansdale, PA 19446-2947
Phone: (610) 724-3284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 N Broad St Ste 8, Lansdale, PA 19446-2318 — (610) 724-3284

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AK001285 (PA)

Record details

NPI number1356813059
Entity typeIndividual (Type 1)
GenderMale
Credentials DIPLAC , LAC
Sole proprietorYes
NPI enumeratedDecember 19, 2018
Last updated in NPPESDecember 19, 2018

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