Tree of Health and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TREE OF HEALTH AND WELLNESS

Practice address

17516 E Carriageway Dr Ste B
Hazel Crest, IL 60429-2079

Phone

(708) 914-4445

Fax

(844) 836-2867

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Petrina Jackson, DC

Title

Chiropractor

Phone

(708) 914-4445

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tree of Health and Wellness LLC Other name

Electronic endpoints 1

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1134890858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17516 E CARRIAGEWAY DR STE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292079",
            "telephone_number": "708-914-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17516 E CARRIAGEWAY DR STE B",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292079",
            "telephone_number": "708-914-4445",
            "fax_number": "844-836-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PETRINA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "708-914-4445",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295377240",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "treeofhealthandwellness@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17516 E Carriageway Dr Ste B",
            "city": "Hazel Crest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604292079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tree of Health and Wellness LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Tom, DO
• Lisa Marie Tomaszewski, APRN
• Daisy Torres, PTA
• Chevon Townsend
• Hannah Townsend, P.T.A.
• Lindy Triebes, MD
• Trio Chiropractic and Wellness Center SC
• Trust Riders Medicar
• Monica J Uceda Arriola, M.D.
• Victor Nnadozie Udechukwu, M.D

• Chiropractor in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.