Cori Michelle Wiedrich, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010834 Issued in IL

Practice address

2031 E Grand Ave Ste 301
Lindenhurst, IL 60046-9094

Phone

(224) 643-7281

Fax

(847) 589-0746

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Wiedrich LLC

  • Chiropractor
  • Charleston, SC
  • NPI 1346414950
  NPD Authorized official
• Joli LLC

  • Chiropractor
  • Charleston, SC
  • NPI 1316260805
  NPD (past) Authorized official
• JLDC Inc.

  • Rehabilitation Chiropractor
  • Lindenhurst, IL
  • NPI 1629576954
  NPD
• Bedogne Chiropractic LLC

  • Chiropractor
  • Kenosha, WI
  • NPI 1801082813
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1346433208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E GRAND AVE STE 301",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469094",
            "telephone_number": "224-643-7281",
            "fax_number": "847-589-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 E GRAND AVE STE 301",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469094",
            "telephone_number": "224-643-7281",
            "fax_number": "847-589-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDRICH",
        "first_name": "CORI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010834",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3324",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meng Wang, RN
• Waukegan Clinic Corp
• Waukegan Illinois Hospital Company LLC
• Waukegan Illinois Hospital Company, LLC
• Jeffrey Wells
• Nathan Evan Wiedrich, DC
• Madelyn Alice Wilkinson
• Adam Giles Witt, DPT, PT, CSCS
• Stewart M Wurtz, LMT
• Wyant Pediatric Therapy Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.