National Provider Identifier Database

DEFINED LJ INC
Neurology

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.


Contact Information

DEFINED LJ, INC
2623 N CLARK ST
CHICAGO, IL60614-1524
Phone: 312-722-6977
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for DEFINED LJ, INC

NPI Number 1497419261
Legal business name
LBN
DEFINED LJ, INC
Authorized official KENNETH MUNNERLYN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/27/2021
Last updated 09/29/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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