Lex Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEX CHIROPRACTIC CLINIC

Practice address

1200 Roosevelt Rd Ste 108
Glen Ellyn, IL 60137-7807

Phone

(630) 613-9152

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Jean R Alexis

Title

Chiropractic Physician / Owner

Phone

(630) 613-9152

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1467918656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROOSEVELT RD STE 108",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377807",
            "telephone_number": "630-613-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROOSEVELT RD STE 108",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377807",
            "telephone_number": "630-613-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEX CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "630-613-9152"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.