Integrative Chiropractic & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008307 Issued in IL

Legal business name

INTEGRATIVE CHIROPRACTIC & WELLNESS, LLC

Practice address

7756 Madison St
Suite 8
River Forest, IL 60305-2058

Phone

(708) 711-3471

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Michaels, D.C.

Title

Manager

Phone

(708) 771-3471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1326207259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CALENDAR CT",
            "address_2": "SUITE 94",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252325",
            "telephone_number": "708-771-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 MADISON ST",
            "address_2": "SUITE 8",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052058",
            "telephone_number": "708-711-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-771-3471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlissa Richards Hughes, PH.D.
• Shelby Hughes, FNP
• Faiqa Hussain, PHARMD
• Georgeann L Iacono Russell, PH.D
• John Ilic
• Integrative Therapies, LTD.
• Internal Medicine Center of Oak Park and River Forest SC
• Ivan Ivanov, DO
• Ivory Wellness PLLC
• Carol Ann Jabs, PHD

• Chiropractor in River Forest, IL
• Providers in River Forest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.