NPIMap

Organization Active NPI

Ellingson Chiropractic and Wellness Inc.

  • Chiropractor
  • Frankfort, IL
National Provider Identifier
1104113133
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008273 Issued in IL
Legal business name
ELLINGSON CHIROPRACTIC AND WELLNESS INC.
Practice address
19550 S Harlem Ave
Suite #3
Frankfort, IL 60423-6724
Phone
(815) 469-7300
Fax
(815) 469-7360
NPI assigned
Jun 28, 2011
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Todd Arnold Ellingson, D.C.NPI 1831105717
Title
Owner/ President
Phone
(815) 469-7300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008273 IL Primary

Addresses

Primary practice location

19550 S Harlem Ave
Suite #3
Frankfort, IL 60423-6724

Mailing address

19550 S Harlem Ave
Suite #3
Frankfort, IL 60423-6724
Phone (815) 469-7300

National Provider Directory

National Provider Directory

Locations

19550 S Harlem Ave
Ste 3
Frankfort, IL 60423
Phone (815) 469-7300

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": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1104113133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 S HARLEM AVE",
            "address_2": "SUITE #3",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236724",
            "telephone_number": "815-469-7300",
            "fax_number": "815-469-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 S HARLEM AVE",
            "address_2": "SUITE #3",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236724",
            "telephone_number": "815-469-7300",
            "fax_number": "815-469-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGSON CHIROPRACTIC AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "ELLINGSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "815-469-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.