Active NPI
Neuropathy Center of Marion
- General Practice Physician
- Marion, IL
National Provider Identifier
1740957786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Iola, KS
- NPI 1740913961
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.