Active NPI
Chiro One Wellness Center of Flossmoor LLC
- Chiropractor
- Olympia Fields, IL
National Provider Identifier
1144321704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIRO ONE WELLNESS CENTER OF FLOSSMOOR LLC
- Practice address
- 3486 Vollmer Rd
Olympia Fields, IL 60461-1018 - Phone
- (708) 481-5444
- Fax
- (708) 481-5495
- NPI assigned
- Sep 26, 2006
- Last updated
- Oct 24, 2017
- 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
- Dr. Sam Wang
- Title
- Coo
- Phone
- (630) 468-1824
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3486 Vollmer Rd
Olympia Fields, IL 60461-1018
Mailing address
2625 Butterfield Rd
Suite 301N
Oak Brook, IL 60523-1234
Phone (630) 468-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Olympia Fields, IL
- NPI 1023051125
-
- Chiropractor
- Libertyville, IL
- NPI 1073520136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1144321704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "SUITE 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": "3486 VOLLMER RD",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611018",
"telephone_number": "708-481-5444",
"fax_number": "708-481-5495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ONE WELLNESS CENTER OF FLOSSMOOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "630-468-1824",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.