NPIMap

Organization Active NPI

Select Wellness Chiropractic, LLC

  • Chiropractor
  • Northbrook, IL
National Provider Identifier
1154666386
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012084 Issued in IL
Legal business name
SELECT WELLNESS CHIROPRACTIC, LLC
Practice address
300 Skokie Blvd
Suite L
Northbrook, IL 60062-1625
Phone
(224) 235-4985
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Jeffrey William Louis, D.C.
Title
Principal Owner
Phone
(224) 235-4985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012084 IL Primary

Addresses

Primary practice location

300 Skokie Blvd
Suite L
Northbrook, IL 60062-1625

Mailing address

300 Skokie Blvd
Suite L
Northbrook, IL 60062-1625
Phone (224) 235-4985

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1154666386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SKOKIE BLVD",
            "address_2": "SUITE L",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621625",
            "telephone_number": "224-235-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SKOKIE BLVD",
            "address_2": "SUITE L",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621625",
            "telephone_number": "224-235-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT WELLNESS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "224-235-4985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.