Chiro One Wellness Center of Lake Zurich LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF LAKE ZURICH LLC

Practice address

275 S Rand Rd
Ste A9
Lake Zurich, IL 60047-2273

Phone

(847) 550-3855

Fax

(630) 701-1007

NPI assigned

Aug 29, 2013

Last updated

Feb 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam WangNPI 1073520136

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  NPD (past) Authorized official
• Phillip James Shaw, D.C.

  • Chiropractor
  • Wheeling, IL
  • NPI 1053558775
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1013341775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-468-1824",
            "fax_number": "630-701-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S RAND RD",
            "address_2": "STE A9",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472273",
            "telephone_number": "847-550-3855",
            "fax_number": "630-701-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF LAKE ZURICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-468-1824"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Feldman Cherner, DC
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• Cherry Hill Center
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• Children's Dentistry Group, LLC
• Thomas L Chrusciel
• Chrysalis Anaplastology & Ocularistry Inc
• Maria Churak, P.T.
• Clocktower Psychological Associates, LTD.
• Rick Coffaro, LPC

• Chiropractor in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.