Charles Clinton Wood, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

135 N Addison Ave
Suite 107
Elmhurst, IL 60126-2857

Phone

(630) 941-8662

Fax

(630) 941-1473

NPI assigned

Feb 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davenport Chiropractic Wellness Center PC

  • Clinic/Center
  • Arlington Heights, IL
  • NPI 1790970390
  Medicare reassignment NPD

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316085970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ADDISON AVE",
            "address_2": "SUITE 107",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262857",
            "telephone_number": "630-941-8662",
            "fax_number": "630-941-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ADDISON AVE",
            "address_2": "SUITE 107",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262857",
            "telephone_number": "630-941-8662",
            "fax_number": "630-941-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHARLES",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R. Wolf, DDS
• Robert A Wolf, DDS
• Annmaree Wolff
• Natalyn Garmun Wong, M.D.
• Wayne D Wong, MD
• Martinique Wood, AU.D.
• Susan E Wooden, PHARM.D.
• Stacy Worth, BCBA
• Kevin Randall Wright, PA-C
• Beth Wrobel, LCPC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.