Active NPI
The Wellness Way Lake Forest PLLC
- Chiropractor
- Lake Bluff, IL
National Provider Identifier
1104764612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- THE WELLNESS WAY LAKE FOREST PLLC
- Practice address
- 100 N Waukegan Rd Ste 103
Lake Bluff, IL 60044-1600 - Phone
- (847) 500-3201
- NPI assigned
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paige Enwright, DC
- Title
- Owner/Chirpractor
- Phone
- (847) 500-3201
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
100 N Waukegan Rd Ste 103
Lake Bluff, IL 60044-1600
Mailing address
100 N Waukegan Rd Ste 103
Lake Bluff, IL 60044-1600
Phone (847) 500-3201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Janeapp |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260513003487 | IL | Part B Supplier - Clinic/Group Practice | 4789153255 |
Receives reassigned benefits from 1 practitioner Practice locations: Lake Bluff, IL |
National Provider Directory
National Provider DirectoryLocations
100 N Waukegan Rd
Ste 103
Lake Bluff, IL 60044
Phone (847) 500-3201
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Independent Medical Examiner Chiropractor
- Lake Bluff, IL
- NPI 1265085575
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1104764612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N WAUKEGAN RD STE 103",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600441600",
"telephone_number": "847-500-3201",
"fax_number": "847-500-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N WAUKEGAN RD STE 103",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600441600",
"telephone_number": "847-500-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS WAY LAKE FOREST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "ENWRIGHT",
"authorized_official_first_name": "PAIGE",
"authorized_official_title_or_position": "OWNER/CHIRPRACTOR",
"authorized_official_telephone_number": "847-500-3201",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Janeapp",
"affiliation": "N",
"address_1": "100 N Waukegan Rd Ste 103",
"city": "Lake Bluff",
"state": "IL",
"country_code": "US",
"postal_code": "600441600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.