NPIMap

Organization Active NPI

Advantage Chiropractic Wellness, LLC

Doing business as Advantage Chiropractic

  • Chiropractor
  • Roscoe, IL
National Provider Identifier
1013304674
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009022 Issued in IL
Legal business name
ADVANTAGE CHIROPRACTIC WELLNESS, LLC
Doing business as
Advantage Chiropractic
Practice address
5069 Edgemere CT
Roscoe, IL 61073-8800
Phone
(815) 623-1013
Fax
(815) 623-1017
NPI assigned
Apr 22, 2015
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Alecia Arn, D.C.NPI 1285632620
Title
Owner
Phone
(815) 389-7911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009022 IL Primary

Addresses

Primary practice location

5069 Edgemere CT
Roscoe, IL 61073-8800

Mailing address

5069 Edgemere CT
Roscoe, IL 61073-8800
Phone (815) 623-1013

Other names 1

  • Advantage Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

11824 Main St
Roscoe, IL 61073
Phone (815) 623-6534

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1013304674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5069 EDGEMERE CT",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738800",
            "telephone_number": "815-623-1013",
            "fax_number": "815-623-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 EDGEMERE CT",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738800",
            "telephone_number": "815-623-1013",
            "fax_number": "815-623-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CHIROPRACTIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "ARN",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-389-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advantage Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roscoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.