LJ Medication, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LJ MEDICATION, LTD.

Practice address

1101 Washington St
Waukegan, IL 60085-5301

Phone

(773) 278-9525

NPI assigned

Oct 1, 2019

Organization subpart

Yes

Parent organization

LA CLINICA, S.C.As reported in NPPES

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

Authorized official

Name

Dr. Eugene Mario Jao, DC

Title

President

Phone

(773) 278-9525

Specialties & licenses 2

Addresses

Other names 1

• La Clinica Doing business as

Part of

La Clinica SC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• La Clinica, S.C.

  • Chiropractor
  • Cicero, IL
  • NPI 1679641930
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Lemus, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1184127029
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1164063269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4782",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WASHINGTON ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600855301",
            "telephone_number": "773-278-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJ MEDICATION, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA, S.C.",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "JAO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-278-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Clinica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Everet Nichola Lincke, MSW, LCSW
• Matthew Lindemeier
• Little City Foundation
• Dalvin D Little
• Jacqueline M Litvan
• Ginger Locke
• Christina Loeffler
• Longevity Acupuncture & Herbal Clinic LLC.
• Brianna Maria Lopez
• David Lopez

• Clinic/Center in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.