DEFINED LJ INC NPI 1497419261

NPI Information

DEFINED LJ, INC is a neurology psychiatry neurology in Chicago, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DEFINED LJ, INC NPI is 1497419261. The provider is registered as an organization entity type.
The provider Other Name Is Defined Lj, Inc.

The provider's business location address is:

2623 N CLARK ST
CHICAGO, IL
ZIP 60614-524
Phone: (312) 722-6977

The provider's authorized official is Kenneth Munnerlyn .
The authorized official title is President and has the following contact phone number (773) 730-7374.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 9/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.