Jordan Spine & Rehab Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JORDAN SPINE & REHAB CENTER LLC

Practice address

4 Yount Dr Ste 4
Bloomington, IL 61704-3737

Phone

(309) 431-2357

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Michelle Jordan, DCNPI 1477027456

Title

Chiropractor

Phone

(309) 431-2357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Michelle Jordan, DC

  • Chiropractor
  • Morton, IL
  • NPI 1477027456
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1669120796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BEACON CIR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617041442",
            "telephone_number": "309-531-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 YOUNT DR STE 4",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043737",
            "telephone_number": "309-431-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN SPINE & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "309-431-2357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Jones, ATC
• Ashley K Jones, CNM
• Jennifer N Jones
• Kaitlin Costello Jones, MSW, LSW
• Mackenzie Rae Jones, LPC
• Imani M Jordan
• Joseph M. Pope D.D.S.,LTD.
• Megan Elysse Joseph, DC
• Larry W Joyce, DO
• JSC Incorporated

• Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.