NPIMap

Organization Active NPI

Nourishing Medicine,LLC

Doing business as Dr. Delilah Anderson

  • Internist Chiropractor
  • Big Rock, IL
National Provider Identifier
1295943108
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
038006687 Issued in IL
Legal business name
NOURISHING MEDICINE,LLC
Doing business as
Dr. Delilah Anderson
Practice address
101 East Second Street
Unit 2
Big Rock, IL 60511-0173
Phone
(630) 479-9355
Fax
(630) 566-1633
NPI assigned
May 21, 2007
Last updated
Mar 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Dr. Delilah Anderson, DC
Title
Owner Physician
Phone
(630) 561-9696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 038006687 IL Primary
Nutrition Chiropractor 111NN1001X 038006687 IL

Addresses

Primary practice location

101 East Second Street
Unit 2
Big Rock, IL 60511-0173

Mailing address

4082 River RDG
Sandwich, IL 60548-6905
Phone (630) 479-9355

Other names 1

  • Dr. Delilah Anderson Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1295943108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 RIVER RDG",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605486905",
            "telephone_number": "630-479-9355",
            "fax_number": "630-566-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST SECOND STREET",
            "address_2": "UNIT 2",
            "city": "BIG ROCK",
            "state": "IL",
            "postal_code": "605110173",
            "telephone_number": "630-479-9355",
            "fax_number": "630-566-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DELILAH",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "630-561-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038006687",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038006687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Delilah Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big Rock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.