Active NPI
Jeremy Leimback DC PC
- Chiropractor
- Chicago, IL
National Provider Identifier
1144564089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- JEREMY LEIMBACK DC PC
- Practice address
- 205 W Randolph St
1205
Chicago, IL 60606-1867 - Phone
- (312) 593-5194
- Fax
- (877) 575-6373
- NPI assigned
- Nov 15, 2012
- Last updated
- Jul 10, 2013
- 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
- Dr. Jeremy Leimback, DC
- Title
- Owner/Chiropractor
- Phone
- (312) 593-5194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
205 W Randolph St
1205
Chicago, IL 60606-1867
Mailing address
205 W Randolph St
1205
Chicago, IL 60606-1867
Phone (312) 593-5194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038011445 | Other | IL | LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Chicago, IL
- NPI 1578793287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373414400000",
"number": "1144564089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W RANDOLPH ST",
"address_2": "1205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061867",
"telephone_number": "312-593-5194",
"fax_number": "877-575-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W RANDOLPH ST",
"address_2": "1205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061867",
"telephone_number": "312-593-5194",
"fax_number": "877-575-6373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEREMY LEIMBACK DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2013-07-10",
"status": "A",
"authorized_official_last_name": "LEIMBACK",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "312-593-5194",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "038011445",
"state": "IL"
}
],
"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 Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.