Organization Active NPI

Lagrange Institute of Health LTD

  • Nutrition Chiropractor
  • Chicago, IL
National Provider Identifier
1295089712
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
038010610 Issued in IL
Legal business name
LAGRANGE INSTITUTE OF HEALTH LTD
Practice address
430 W Erie St
Suite 403
Chicago, IL 60654-6914
Phone
(312) 255-8810
Fax
(312) 846-6817
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Gina Marie Sirchio, DC
Title
Owner/Provider
Phone
(312) 255-8810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 038010610 IL Primary

Addresses

Primary practice location

430 W Erie St
Suite 403
Chicago, IL 60654-6914

Mailing address

430 W Erie St
Suite 403
Chicago, IL 60654-6914
Phone (312) 255-8810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1295089712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W ERIE ST",
            "address_2": "SUITE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546914",
            "telephone_number": "312-255-8810",
            "fax_number": "312-846-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W ERIE ST",
            "address_2": "SUITE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546914",
            "telephone_number": "312-255-8810",
            "fax_number": "312-846-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE INSTITUTE OF HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "SIRCHIO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "312-255-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038010610",
            "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 Jun 2, 2015; 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.