Higgins Wellness Center, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-003210 Issued in IL

Legal business name

HIGGINS WELLNESS CENTER, S.C.

Practice address

3105 N Prospect Rd
Peoria, IL 61603-1505

Phone

(309) 685-5224

Fax

(309) 685-7377

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Bernard M Higgins, D.C.

Title

President

Phone

(309) 685-5224

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenessa Kalene Lutz, D.C.

  • Chiropractor
  • Peoria, IL
  • NPI 1174794200
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1407013485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031505",
            "telephone_number": "309-685-5224",
            "fax_number": "309-685-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 N PROSPECT RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031505",
            "telephone_number": "309-685-5224",
            "fax_number": "309-685-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINS WELLNESS CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-685-5224",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond R Heyde, MD
• Brian W Heywood, MD
• Melinda Sue Hickey, MSN, AGNP-C, CWON
• Leland Hickman, D.M.D.
• Terri Hicok, NP
• Craig Louis-Albert Higgs, M.D.
• Jessica Higgs, MD
• Highland Park CVS LLC
• Highland Park CVS, L.L.C
• Highland Park CVS, L.L.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.