Chiropractic Family Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011842 Issued in IL

Legal business name

CHIROPRACTIC FAMILY WELLNESS, LLC

Practice address

11673 Main St
Roscoe, IL 61073

Phone

(815) 623-7694

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By 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. Annie P Stephens, D.C.NPI 1932457355

Title

Chiropractor

Phone

(815) 209-7853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Annie Pamela Stephens, D.C,

  • Chiropractor
  • Roscoe, IL
  • NPI 1932457355
  Medicare reassignment NPD Authorized official
• Jacquelyn A Baschleben, D.C.

  • Chiropractor
  • Roscoe, IL
  • NPI 1447325451
  NPD
• Jennifer L Bailey, L.AC.

  • Acupuncturist
  • Roscoe, IL
  • NPI 1730223041
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1285987917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 MAIN ST",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "61073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 MAIN ST",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "61073",
            "telephone_number": "815-623-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-209-7853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen M Callahan, LCSW
• Janet Casanova, DC
• Sage Armani Castro, DPT
• Julian S. Chestnut, D.O.
• Misty Elizabeth Chipalla, LICENSED SOCIAL WORK
• Chiropractic First North PLLC
• Clearings Counseling Center Inc
• Brienna Lea Cobb, COTA/L
• Confluence Individual and Relationship Counseling LLC
• Rebecca Conness, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.