Organization Active NPI

Jin's Pain Therapy Clinic Inc

  • Naprapath
  • Chicago, IL
National Provider Identifier
1457623787
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181-000303 Issued in IL
Legal business name
JIN'S PAIN THERAPY CLINIC INC
Practice address
735 W. 35TH St
Chicago, IL 60616
Phone
(773) 386-2683
Fax
(773) 254-8944
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Bailan Jin, D-N
Title
Naprapath
Phone
(773) 386-2683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaprapathGroup: 193400000X SINGLE SPECIALTY GROUP 172P00000X 181-000303 IL Primary

Addresses

Primary practice location

735 W. 35TH St
Chicago, IL 60616

Mailing address

735 W. 35TH St
Chicago, IL 60616
Phone (773) 386-2683

National Provider Directory

National Provider Directory

Locations

735 W 35th St
Chicago, IL 60616
Phone (773) 254-8977

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1457623787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 W. 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "773-386-2683",
            "fax_number": "773-254-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W. 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "773-386-2683",
            "fax_number": "773-254-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN'S PAIN THERAPY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "BAILAN",
        "authorized_official_title_or_position": "NAPRAPATH",
        "authorized_official_telephone_number": "773-386-2683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D-N"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181-000303",
            "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 Feb 2, 2012; 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.