NPI Code Detail JSON Logo

1487746301 NPI number — JOSEPH CHUKA WABOMNOR DC

NPI Number: 1487746301
Health Care Provider/Practitioner: JOSEPH CHUKA WABOMNOR DC

Information about “1487746301” NPI (JOSEPH CHUKA WABOMNOR DC) exists in 1487746301 in HTML format HTML  |  1487746301 in plain Text format TXT  |  1487746301 in PDF (Portable Document Format) PDF  |  1487746301 in an XML format XML  formats.

NPI Number : 1487746301 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487746301",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WABOMNOR",
    "FirstName": "JOSEPH",
    "MiddleName": "CHUKA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2075 N WESTERN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60647-4167",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-252-0800",
    "MailingAddressFaxNumber": "773-252-0881",
    "FirstLinePracticeLocationAddress": "2075 N WESTERN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60647-4167",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-252-0800",
    "PracticeLocationAddressFaxNumber": "773-252-0881",
    "EnumerationDate": "09/28/2006",
    "LastUpdateDate": "08/15/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "038009465",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.