Experience Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EXPERIENCE CHIROPRACTIC SC

Practice address

1971 N Fremont St Ste 3
Chicago, IL 60614-3591

Phone

(773) 569-3014

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Nudo, DCNPI 1528402153

Title

President

Phone

(618) 841-0078

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Nudo, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1528402153
  NPD Authorized official

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1750872990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N FREMONT ST STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 N FREMONT ST STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143591",
            "telephone_number": "773-569-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "NUDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-841-0078",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expanded Mental Health Services of Chicago NFP
• Expanded Mental Health Services of Chicago NFP
• Expansions Behavioral Health LLC
• Expansive Health and Recovery Services Inc.
• Experience Chiropractic
• Expert Urology Consulting PLLC
• Explore Your Truth Incoporated
• Exploring Your Truth
• Exposure Therapy Chicago PLLC
• Express Care, LLC

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.