NPIMap

Organization Active NPI

Northstar Chiropractic Natural Wellness Center

  • Clinic/Center
  • Lisle, IL
National Provider Identifier
1326129636
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
060008903 Issued in IL
Legal business name
NORTHSTAR CHIROPRACTIC NATURAL WELLNESS CENTER
Practice address
4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289
Phone
(630) 795-1889
Fax
(630) 281-2802
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Dr. Paul David Rieselman, DCNPI 1679654974
Title
Director
Phone
(630) 795-1889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 060008903 IL Primary

Addresses

Primary practice location

4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289

Mailing address

4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1289
Phone (630) 795-1889

National Provider Directory

National Provider Directory

Locations

4513 Lincoln Ave
Ste 212
Lisle, IL 60532
Phone (224) 616-4613

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1326129636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-795-1889",
            "fax_number": "630-281-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-795-1889",
            "fax_number": "630-281-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR CHIROPRACTIC NATURAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "RIESELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-795-1889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "060008903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.