Inetta V Nikogosian, DN

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

333 E Il Route 83
Suite 106
Mundelein, IL 60060-4214

Phone

(847) 566-0003

Fax

(847) 566-5503

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1104920818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83",
            "address_2": "SUITE 106",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604214",
            "telephone_number": "847-566-0003",
            "fax_number": "847-566-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83",
            "address_2": "SUITE 106",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604214",
            "telephone_number": "847-566-0003",
            "fax_number": "847-566-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOGOSIAN",
        "first_name": "INETTA",
        "middle_name": "V",
        "credential": "DN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.