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DEFINED LJ, INC
NPI 1497419261
Psychiatry & Neurology - Neurology in Chicago, IL

Active since October 27, 2021
2623 N CLARK ST, CHICAGO, IL 60614(312) 722-6977 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Defined Lj, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEFINED LJ, INC (NPI 1497419261) is a healthcare organization registered as a neurology in Chicago, Illinois and active in the NPI registry since October 2021. The organization lists Kenneth Munnerlyn, President, as its authorized official.

NPPES Registry Identity

NPI1497419261
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameDEFINED LJ, INC
Location Address2623 N CLARK STChicago, IL 60614-1524
Mailing Address2623 N Clark StChicago, IL 60614-1524 · (123) 722-6977
Phone(312) 722-6977
Organization SubpartNo
Authorized OfficialKenneth MunnerlynPresident · (773) 730-7374
Enumeration DateOctober 27, 2021
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1497419261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2623 N CLARK ST, Chicago, IL 60614
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Other Names 1

Other NameDefined Lj, Inc

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIGITRACE CARE SERVICES, INC
Clinic/Center (Sleep Disorder Diagnostic)
2623 N CLARK ST
CHICAGO, IL 60614
Cook County (847) 966-7366
NICOLE GIVENS
Social Worker (Clinical)
2623 N CLARK ST
CHICAGO, IL 60614
Cook County (312) 847-2912
DR. KENNETH ARCEDRICK MUNNERLYN MD
Psychiatry & Neurology (Neurology)
2623 N CLARK ST
CHICAGO, IL 60614
Cook County (312) 722-6977
SYDNEY MITCHELL LCSW
Social Worker (Clinical)
2623 N CLARK ST
CHICAGO, IL 60614
Cook County (312) 722-6977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Defined Lj, Inc's NPI number?

The NPI number for Defined Lj, Inc is 1497419261. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Defined Lj, Inc located?

Defined Lj, Inc is located at 2623 N Clark St, Chicago, IL 60614. The listed phone number is (312) 722-6977.

What is Defined Lj, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Defined Lj, Inc was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.