Organization Active NPI

Inclusive Wellness, LTD.

Doing business as Soheila Vahabi DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1417022518
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008001 Issued in IL
Legal business name
INCLUSIVE WELLNESS, LTD.
Doing business as
Inclusive Wellness, Ltd.
Soheila Vahabi DC
Practice address
4705 N Lincoln Ave
Chicago, IL 60625-2009
Phone
(888) 978-8287
NPI assigned
Nov 22, 2006
Last updated
Apr 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Soheila Vahabi, MS, DC, FIAMANPI 1184805947
Title
President
Phone
(312) 774-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038008001 IL Primary

Addresses

Primary practice location

4705 N Lincoln Ave
Chicago, IL 60625-2009

Mailing address

1603 Orrington Ave Ste 600
Evanston, IL 60201-3860
Phone (312) 774-0010

Other identifiers 1

IdentifierTypeStateIssuer
1632537OtherILBCBS

Other names 2

  • Inclusive Wellness, Ltd. Doing business as
  • Soheila Vahabi DC Doing business as

National Provider Directory

National Provider Directory

Locations

161 E Erie St
Ste 103
Chicago, IL 60611
Phone (312) 337-5777

233 E Erie St
Ste 404
Chicago, IL 60611
Phone (312) 274-1100

4705 N Lincoln Ave
Chicago, IL 60625
Phone (773) 334-1515

1603 Orrington Ave
Ste 6001603
Evanston, IL 60201

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1417022518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013860",
            "telephone_number": "312-774-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252009",
            "telephone_number": "888-978-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE WELLNESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "VAHABI",
        "authorized_official_first_name": "SOHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-774-0010",
        "authorized_official_credential": "MS, DC, FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632537",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inclusive Wellness, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inclusive Wellness, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soheila Vahabi DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.