Organization Active NPI

Pure Bodyworks

  • Naprapath
  • Chicago, IL
National Provider Identifier
1689336760
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
Legal business name
PURE BODYWORKS
Practice address
4107 W Belmont Ave
Chicago, IL 60641-4617
Phone
(773) 710-9457
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Dr. Gladys Lara, DNNPI 1568033629
Title
Doctor
Phone
(773) 710-9457

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)CodeLicenseStatePrimary
NaprapathGroup: 193400000X SINGLE SPECIALTY GROUP 172P00000X Primary

Addresses

Primary practice location

4107 W Belmont Ave
Chicago, IL 60641-4617

Mailing address

4107 W Belmont Ave
Chicago, IL 60641-4617

National Provider Directory

National Provider Directory

Locations

4107 W Belmont Ave
Chicago, IL 60641
Phone (773) 710-9457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1689336760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414617",
            "telephone_number": "773-710-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BODYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "773-710-9457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "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 Oct 6, 2021; 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.