Active NPI
Exercise RX, LLC
- Legal Medicine
- Deerfield, IL
National Provider Identifier
1568524924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- Legal business name
- EXERCISE RX, LLC
- Practice address
- 707 Lake Cook Rd
Suite 120
Deerfield, IL 60015-5613 - Phone
- (847) 498-3736
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey S Miller, DN
- Title
- Medical Director
- Phone
- (847) 498-3736
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | IL | Primary |
Addresses
Primary practice location
707 Lake Cook Rd
Suite 120
Deerfield, IL 60015-5613
Mailing address
PO Box 5979
Buffalo Grove, IL 60089-5979
Phone (847) 897-5995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004926183 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Legal Medicine
- Deerfield, IL
- NPI 1184786535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568524924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5979",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600895979",
"telephone_number": "847-897-5995",
"fax_number": "847-897-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LAKE COOK RD",
"address_2": "SUITE 120",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155613",
"telephone_number": "847-498-3736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXERCISE RX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-498-3736",
"authorized_official_credential": "DN"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0004926183",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.