Organization Active NPI

Igh Wellness Inc

  • Chiropractor
  • Bolingbrook, IL
National Provider Identifier
1295525780
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IGH WELLNESS INC
Practice address
486 W Boughton Rd # A1-A3
Bolingbrook, IL 60440-2399
Phone
(630) 864-6486
Fax
(331) 757-5092
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Shaquala Reese, DCNPI 1962844860
Title
Owner
Phone
(630) 864-6486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

486 W Boughton Rd # A1-A3
Bolingbrook, IL 60440-2399

Mailing address

486 W Boughton Rd # A1-A3
Bolingbrook, IL 60440-2399
Phone (630) 864-6486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905000922 IL Part B Supplier - Clinic/Group Practice 6103328521 Receives reassigned benefits from 1 practitioner
Practice locations: Bolingbrook, IL

National Provider Directory

National Provider Directory

Locations

486 W Boughton Rd
#A1A3
Bolingbrook, IL 60440
Phone (630) 864-6486

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1295525780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 W BOUGHTON RD # A1-A3",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402399",
            "telephone_number": "630-864-6486",
            "fax_number": "331-757-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 W BOUGHTON RD # A1-A3",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402399",
            "telephone_number": "630-864-6486",
            "fax_number": "331-757-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGH WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "SHAQUALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-864-6486",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.