Active NPI
Renew Chiropractic Health and Wellness LLC
- Chiropractor
- Chicago, IL
National Provider Identifier
1003261769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012440
- Legal business name
- RENEW CHIROPRACTIC HEALTH AND WELLNESS LLC
- Practice address
- 935 N Honore St Apt 2R
Chicago, IL 60622-4979 - Phone
- (563) 580-5171
- NPI assigned
- May 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan Marin, DC
- Title
- Owner
- Phone
- (563) 580-5171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012440 | IL | Primary |
Addresses
Primary practice location
935 N Honore St Apt 2R
Chicago, IL 60622-4979
Mailing address
935 N Honore St Apt 2R
Chicago, IL 60622-4979
Phone (563) 580-5171
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462147200000",
"number": "1003261769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 N HONORE ST APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224979",
"telephone_number": "563-580-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 N HONORE ST APT 2R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224979",
"telephone_number": "563-580-5171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW CHIROPRACTIC HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A",
"authorized_official_last_name": "MARIN",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-580-5171",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038012440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.