Black Chiropractic & Wellness, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLACK CHIROPRACTIC & WELLNESS, PLLC

Practice address

1355 E 19TH Rd
Streator, IL 61364-9743

Phone

(815) 257-5394

NPI assigned

Nov 25, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexis Kaye Black, DCNPI 1669294526

Title

Owner/Chiropractor

Phone

(815) 257-5394

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Kaye Black, DC

  • Chiropractor
  • Streator, IL
  • NPI 1669294526
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1003778226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LEXTIN DR",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613649316",
            "telephone_number": "815-257-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E 19TH RD",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613649743",
            "telephone_number": "815-257-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK CHIROPRACTIC & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "815-257-5394",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Sierra Bailey, DPT
• Bartoli Chiropractic Center, LTD
• James Jerome Beagle, DDS
• Darcy L. Beals, M.S., CCC-A
• Michael A Bellino, DPT
• Alexis Kaye Black, DC
• James R Broedlow, RPH
• Rebecca Lynn Broedlow, MS SLP-CCC
• Felicia Brown, MA
• Bruce Sylvester Smith MD LLC

• Chiropractor in Streator, IL
• Providers in Streator, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.