Active NPI
Laura Jendra, D.C.
- Sports Physician Chiropractor
- Orland Park, IL
National Provider Identifier
1992716930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038008780
- Practice address
- 10761 163Rd PL
Orland Park, IL 60467-8861 - Phone
- (708) 403-9450
- Fax
- (708) 403-9488
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038008780 | IL | Primary |
Addresses
Primary practice location
10761 163Rd PL
Orland Park, IL 60467-8861
Mailing address
10761 163Rd PL
Orland Park, IL 60467-8861
Phone (708) 403-9450
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1992716930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10761 163RD PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "708-403-9450",
"fax_number": "708-403-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10761 163RD PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "708-403-9450",
"fax_number": "708-403-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENDRA",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038008780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.