Sam Wang, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009501 Issued in IL

Practice address

149 Buckley Rd
Libertyville, IL 60048-1400

Phone

(224) 207-4180

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiro One Wellness Center of West Chicago LLC

  • Chiropractor
  • West Chicago, IL
  • NPI 1114253168
  NPD Authorized official
• Chiro One Wellness Center Metro of Andersonville LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1912297755
  NPD (past) Authorized official
• Chiro One Wellness Center Metro of Avondale LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1316227713
  NPD (past) Authorized official
• Chiro One Wellness Center Metro of Sauganash LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1952654105
  NPD (past) Authorized official
• Chiro One Wellness Center Metro of South Loop LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1982847646
  NPD (past) Authorized official
• Chiro One Wellness Center Metro of Streeterville LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1821375619
  NPD (past) Authorized official
• Chiro One Wellness Center Metro of the Loop LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1851614184
  NPD (past) Authorized official
• Chiro One Wellness Center Metro of West Addison LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1568959401
  NPD (past) Authorized official
• Chiro One Wellness Center of Addison LLC

  • Chiropractor
  • Addison, IL
  • NPI 1558518563
  NPD (past) Authorized official
• Chiro One Wellness Center of Burr Ridge LLC

  • Chiropractor
  • Burr Ridge, IL
  • NPI 1912935982
  NPD (past) Authorized official
• Chiro One Wellness Center of Crystal Lake SC

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1124155098
  NPD (past) Authorized official
• Chiro One Wellness Center of Des Plaines LLC

  • Chiropractor
  • Des Plaines, IL
  • NPI 1740451657
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1073520136",
    "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": "149 BUCKLEY RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481400",
            "telephone_number": "224-207-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02230328",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Walsh
• Lisa Walsh
• Walter P Duzey DC PC
• Amy Lynn Walther, APNP
• Jonathan Walton, L. AC.
• Amy Warrington, SLP
• Jeffrey Watkin, D.C.
• Eric S Watkins, OTR/L
• William C Watson, MD
• Bryeesha Webb

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.