1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Acupuncturist
  6. NPI Profile

KELLY MULLEN DESIERTO L.AC.
NPI 1780069831
Acupuncturist in Chicago, IL

Active since July 29, 2015
5330 W DEVON AVE, SUITE 5, CHICAGO, IL 60646(773) 682-7124 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Mullen Desierto L.ac. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MULLEN DESIERTO L.AC. (NPI 1780069831) is an individual acupuncturist in Chicago, Illinois, licensed in Illinois (198.001110) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1780069831
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameKELLY MULLEN DESIERTOCredential: L.AC.
Location Address5330 W DEVON AVE, SUITE 5Chicago, IL 60646-4148
Mailing Address5330 W Devon Ave, Suite 5Chicago, IL 60646-4148 · (773) 682-7124
Phone(773) 682-7124
Sole ProprietorYes
Enumeration DateJuly 29, 2015
✔ NPI 1780069831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in IL · 198.001110
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
5330 W DEVON AVE, Chicago, IL 60646
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Kay Mullen

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYE SURGEONS SC
Ophthalmology
5330 W DEVON AVE
CHICAGO, IL 60646
Cook County (773) 775-4947
ENLIGHTEN HOLISTIC MEDICINE, LLC
Acupuncturist
5330 W DEVON AVE, SUITE 5
CHICAGO, IL 60646
Cook County (773) 682-7124
EDGEBROOK FOOT & ANKLE CLINIC, INC
Podiatrist (Foot & Ankle Surgery)
5330 W DEVON AVE, SUITE 10
CHICAGO, IL 60646
Cook County (773) 792-9300
DR. CONSTANCE S BRAININ PH.D.
Counselor (Mental Health)
5330 W DEVON AVE, EDGEBROOK MEDICAL BUILDING
CHICAGO, IL 60646
Cook County (773) 775-3133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Desierto's NPI number?

The NPI number for Kelly Desierto is 1780069831. It was assigned to this individual provider in the NPPES registry on July 29, 2015. The provider is also known as Kelly Kay Mullen.

Where is Kelly Desierto located?

Kelly Desierto practices at 5330 W Devon Ave Suite 5, Chicago, IL 60646. The listed phone number is (773) 682-7124.

What is Kelly Desierto's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Kelly Desierto was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.