Puzon Martinez Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PUZON MARTINEZ WELLNESS LLC

Doing business as

Renew Family Health Center

Practice address

11975 W 143Rd St
Orland Park, IL 60467-7218

Phone

(630) 802-3488

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Francis Puzon, DCNPI 1609206259

Title

Co-Owner

Phone

(630) 802-3488

Specialties & licenses 1

Addresses

Other names 1

• Renew Family Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Francis Puzon, D.C.

  • Chiropractor
  • Orland Park, IL
  • NPI 1609206259
  Medicare reassignment NPD Authorized official
• Gretchen Martinez Feliciano, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1467897603
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1417414699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677218",
            "telephone_number": "630-802-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUZON MARTINEZ WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "PUZON",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "630-802-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.