Individual provider Active NPI

Printiss E Munn Jr., LMT, MMP

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1942988472
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227019799 Issued in IL
Practice address
1742 W Rosehill Dr
Chicago, IL 60660-3920
Phone
(773) 885-5491
NPI assigned
Jul 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227019799 IL Primary

Addresses

Primary practice location

1742 W Rosehill Dr
Chicago, IL 60660-3920

Mailing address

1505 W Granville Ave Apt 2
Chicago, IL 60660-1866
Phone (773) 885-5491

Other practice location 1

1505 W Granville Ave Apt 2
Chicago, IL 60660-1866
Phone (773) 885-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
227019799ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1942988472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W GRANVILLE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601866",
            "telephone_number": "773-885-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 W ROSEHILL DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603920",
            "telephone_number": "773-885-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Granville Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606601866",
            "country_code": "US",
            "telephone_number": "773-885-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNN",
        "first_name": "PRINTISS",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227019799",
            "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 Jul 5, 2023; 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.