Organization Active NPI

Freedom Wellness Centers, LLC

  • Chiropractor
  • Hoffman Estates, IL
National Provider Identifier
1053708354
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008415 Issued in IL
Legal business name
FREEDOM WELLNESS CENTERS, LLC
Practice address
1732 W Algonquin Rd
Hoffman Estates, IL 60192-1573
Phone
(630) 289-2225
Fax
(630) 429-9730
NPI assigned
Apr 24, 2015
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Karl Stephen Forgeron, DCNPI 1477522126
Title
Chiropractic Physician
Phone
(630) 289-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008415 IL Primary

Addresses

Primary practice location

1732 W Algonquin Rd
Hoffman Estates, IL 60192-1573

Mailing address

1732 W Algonquin Rd
Hoffman Estates, IL 60192-1573
Phone (630) 289-2225

Other identifiers 3

IdentifierTypeStateIssuer
1245787753OtherILGROUP NPI
1477522126OtherILINDIVIDUAL NPI
1621984OtherILBCBSIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://portal.myupdox.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Freedom Wellness Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1732 W Algonquin Rd
Hoffman Estates, IL 60192
Phone (630) 289-2225

821 E Schaumburg Rd
Schaumburg, IL 60194
Phone (630) 289-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1053708354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W ALGONQUIN RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921573",
            "telephone_number": "630-289-2225",
            "fax_number": "630-429-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W ALGONQUIN RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921573",
            "telephone_number": "630-289-2225",
            "fax_number": "630-429-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "FORGERON",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-289-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1245787753",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477522126",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "1621984",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://portal.myupdox.com",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax and HIPAA-compliant communication",
            "address_1": "1732 W Algonquin Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601921573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.