Chiro One Wellness Center of Oak Lawn LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF OAK LAWN LLC

Practice address

5116 W 95TH St
Oak Lawn, IL 60453-2458

Phone

(708) 581-7070

Fax

(708) 581-7075

NPI assigned

Mar 19, 2008

Last updated

Oct 24, 2017By 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

Dr. Sam Wang, DCNPI 1073520136

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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.

• Robert E Butt, D.C.

  • Chiropractor
  • Oak Lawn, IL
  • NPI 1295881639
  Medicare reassignment NPD
• Samah Sami Slim, DC

  • Chiropractor
  • Crestwood, IL
  • NPI 1184425670
  Medicare reassignment NPD
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  NPD (past) Authorized official
• George Lee Walker, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1134159551
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1053582973",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532458",
            "telephone_number": "708-581-7070",
            "fax_number": "708-581-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF OAK LAWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2017-10-24",
        "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",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Krystina Chickerillo, MSN,FNP-BC
• Aida Altagracia Chicon
• Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp
• Childhood Trauma Treatment Program of Advocate Health & Hospitals Corp
• Victoria Lashay Sierra Childs
• Ashley Choi, PSYD
• Eunice Ye Eun Choi, DMD
• Michelle Chong, PA
• Saeed Chowdhry, MD
• Christ Medical Center

• Chiropractor in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.