Organization Active NPI

Jerijo Vandenhoven DC SC

  • Chiropractor
  • Lansing, IL
National Provider Identifier
1992732200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JERIJO VANDENHOVEN DC SC
Practice address
2370 172ND St
Lansing, IL 60438-6002
Phone
(708) 474-4890
Fax
(708) 474-4899
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerijo Marie Vandenhoven, D.C.
Title
Chiropractor/Clinic Director
Phone
(708) 474-4890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

2370 172ND St
Lansing, IL 60438-6002

Mailing address

2370 172ND St
Lansing, IL 60438-6002
Phone (708) 474-4890

Other names 1

  • LifeWorks Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

2370 172nd St
Lansing, IL 60438
Phone (708) 418-5505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992732200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 172ND ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386002",
            "telephone_number": "708-474-4890",
            "fax_number": "708-474-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 172ND ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386002",
            "telephone_number": "708-474-4890",
            "fax_number": "708-474-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERIJO VANDENHOVEN DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDENHOVEN",
        "authorized_official_first_name": "JERIJO",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "708-474-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeWorks Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.