Neurometabolic Center of Chicago, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012533 Issued in IL

Legal business name

NEUROMETABOLIC CENTER OF CHICAGO, LLC

Practice address

875 N Michigan Ave
3100
Chicago, IL 60611-1803

Phone

(312) 869-9780

Fax

(312) 674-7610

NPI assigned

Nov 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David St Jean, D.C.

Title

Founder, Medical Director

Phone

(312) 869-9780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1184020471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE",
            "address_2": "3100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111803",
            "telephone_number": "312-869-9780",
            "fax_number": "312-674-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE",
            "address_2": "3100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111803",
            "telephone_number": "312-869-9780",
            "fax_number": "312-674-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMETABOLIC CENTER OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "ST JEAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FOUNDER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-869-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.