Organization Active NPI

Meta Modern Health LLC

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1780124982
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
META MODERN HEALTH LLC
Practice address
925 N Larrabee St
C-1
Chicago, IL 60610-2418
Phone
(312) 874-7177
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Stephanie Nelson
Title
General Manager
Phone
(312) 874-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

925 N Larrabee St
C-1
Chicago, IL 60610-2418

Mailing address

925 N Larrabee St
C-1
Chicago, IL 60610-2418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1780124982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N LARRABEE ST",
            "address_2": "C-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N LARRABEE ST",
            "address_2": "C-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102418",
            "telephone_number": "312-874-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META MODERN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "312-874-7177"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "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 Mar 7, 2017; 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.