Organization Active NPI

Neuropathy Center of Marion

  • General Practice Physician
  • Marion, IL
National Provider Identifier
1740957786
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEUROPATHY CENTER OF MARION
Practice address
2801 Civic Circle Blvd Ste 2
Marion, IL 62959-5274
Phone
(217) 839-3040
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Dr. Steven R Jachino, D.C.
Title
President
Phone
(217) 839-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2801 Civic Circle Blvd Ste 2
Marion, IL 62959-5274

Mailing address

124 N Macoupin St
Gillespie, IL 62033-1408
Phone (217) 839-3040

National Provider Directory

National Provider Directory

Locations

2801 Civic Circle Blvd
Ste 2
Marion, IL 62959
Phone (618) 422-2890

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1740957786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N MACOUPIN ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331408",
            "telephone_number": "217-839-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CIVIC CIRCLE BLVD STE 2",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595274",
            "telephone_number": "217-839-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY CENTER OF MARION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "JACHINO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-839-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.