North Shore Physical Wellness LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTH SHORE PHYSICAL WELLNESS LTD.

Practice address

633 Skokie Blvd
Suite #270
Northbrook, IL 60062-2858

Phone

(847) 513-6996

Fax

(847) 513-6998

NPI assigned

Mar 19, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maxwell Barrett, D.C.NPI 1669557542

Title

President

Phone

(847) 513-6996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Maxwell Barrett, D.C.

  • Chiropractor
  • Northbrook, IL
  • NPI 1669557542
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1265603062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "SUITE #270",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "847-513-6996",
            "fax_number": "847-513-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "SUITE #270",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "847-513-6996",
            "fax_number": "847-513-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PHYSICAL WELLNESS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-513-6996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Family Services, LLC
• North Shore Health Solutions LTD
• North Shore Labs LLC
• North Shore Medical Supply LLC
• North Shore Naprapathic Fitness & Wellness Center LLC
• North Shore Vein Clinics LLC
• North Shore Wellness Center
• North Shore Wellness Services, LTD. (North Shore Counseling, Ltd.)
• North Star Behavioral Health, LTD
• North Suburban Center for Anxiety, LLC

• Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.

Verify at the official NPI Registry.