Organization Active NPI

Eccentric Learning Laboratories, LLC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1831792886
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ECCENTRIC LEARNING LABORATORIES, LLC
Practice address
4765 N Lincoln Ave Ste 209
Chicago, IL 60625-2077
Phone
(714) 719-6740
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Dr. Peter Platten, PHD
Title
Owner
Phone
(608) 213-9284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4765 N Lincoln Ave Ste 209
Chicago, IL 60625-2077

Mailing address

4765 N Lincoln Ave Ste 209
Chicago, IL 60625-2077
Phone (714) 719-6740

National Provider Directory

National Provider Directory

Locations

4765 N Lincoln Ave
Ste 209
Chicago, IL 60625
Phone (714) 719-6740

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1831792886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 N LINCOLN AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252077",
            "telephone_number": "714-719-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 N LINCOLN AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252077",
            "telephone_number": "714-719-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCENTRIC LEARNING LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "PLATTEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-213-9284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 May 9, 2025; 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.