Active NPI
Edmond Chenet Jr.
- Adult Companion
- Elgin, IL
National Provider Identifier
1619265824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 16 Douglas Ave
Elgin, IL 60120-5546 - Phone
- (847) 888-1576
- Fax
- (847) 888-1611
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
16 Douglas Ave
Elgin, IL 60120-5546
Mailing address
16 Douglas Ave
Elgin, IL 60120-5546
Phone (847) 888-1576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1619265824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DOUGLAS AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601205546",
"telephone_number": "847-888-1576",
"fax_number": "847-888-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 DOUGLAS AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601205546",
"telephone_number": "847-888-1576",
"fax_number": "847-888-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENET",
"first_name": "EDMOND",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.