Active NPI
The Wellness Center S.C.
- Family Medicine Physician
- Springfield, IL
National Provider Identifier
1346447901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36076506
- Legal business name
- THE WELLNESS CENTER S.C.
- Practice address
- 203 N Grand Ave W
Springfield, IL 62702 - Phone
- (217) 522-6500
- Fax
- (217) 753-3465
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. J Laurence Miller, D.C.
- Title
- Physician
- Phone
- (217) 522-6500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36076506 | ID | Primary |
| Nutrition Chiropractor | 111NN1001X | IL |
Addresses
Primary practice location
203 N Grand Ave W
Springfield, IL 62702
Mailing address
203 N Grand Ave W
Springfield, IL 62702-2550
Phone (217) 522-6500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1478530 | Other | IL | COVENTRY |
| 08482049 | Other | IL | BLUE CROSS BLUE SHIELD OF |
| 194224 | Other | IL | HEALTHLINK |
Other names 1
- Baytree Medical SC
National Provider Directory
National Provider DirectoryLocations
2001 W Monroe St
Springfield, IL 62704
Phone (217) 522-6500
203 N Grand Ave W
Springfield, IL 62702
Phone (217) 522-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1346447901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N GRAND AVE W",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627022550",
"telephone_number": "217-522-6500",
"fax_number": "217-159-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N GRAND AVE W",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62702",
"telephone_number": "217-522-6500",
"fax_number": "217-753-3465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS CENTER S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "LAURENCE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "217-522-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ID",
"license": "36076506",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "1478530",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "08482049",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "194224",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baytree Medical SC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.