RJR Medical, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

042620480 Issued in IL

Legal business name

RJR MEDICAL, S.C.

Practice address

3358 W 26TH St
Chicago, IL 60623-4037

Phone

(773) 313-0750

Fax

(856) 441-8304

NPI assigned

Nov 17, 2015

Last updated

Nov 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Jao, M.D.

Title

Doctor

Phone

(773) 313-0750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1316311160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234037",
            "telephone_number": "773-313-0750",
            "fax_number": "856-441-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234037",
            "telephone_number": "773-313-0750",
            "fax_number": "856-441-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJR MEDICAL, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "JAO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "773-313-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042620480",
            "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 17, 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.