NPIMap

Organization Active NPI

Advanced Wellness Center LTD

  • Chiropractor
  • Woodridge, IL
National Provider Identifier
1366863045
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011299 Issued in IL
Legal business name
ADVANCED WELLNESS CENTER LTD
Practice address
6325 Main St
Suite 120
Woodridge, IL 60517-1357
Phone
(630) 541-6773
Fax
(630) 541-7485
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Emmy Wang, D.C.
Title
Doctor/Owner
Phone
(630) 541-6773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011299 IL Primary

Addresses

Primary practice location

6325 Main St
Suite 120
Woodridge, IL 60517-1357

Mailing address

6325 Main St
Suite 120
Woodridge, IL 60517-1357
Phone (630) 541-6773

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1366863045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST",
            "address_2": "SUITE 120",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171357",
            "telephone_number": "630-541-6773",
            "fax_number": "630-541-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST",
            "address_2": "SUITE 120",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171357",
            "telephone_number": "630-541-6773",
            "fax_number": "630-541-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "630-541-6773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.