DEFINED LJ INC NPI 1497419261

NPI Information

  • NPI: 1497419261
  • Provider Name: DEFINED LJ, INC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Other Name: DEFINED LJ, INC
  • Address: 2623 N CLARK ST
    CHICAGO, IL
    ZIP 60614
  • Phone: (312) 722-6977

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
22084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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