Moraine Valley Wellness Centers CHTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038004667 Issued in IL

Legal business name

MORAINE VALLEY WELLNESS CENTERS CHTD

Doing business as

Moraine Valley Chiropractic Center

Practice address

8700 West 95TH Street
Suite 2-3
Hickory Hills, IL 60457-2727

Phone

(708) 598-9010

Fax

(708) 598-9013

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Linda Lucienne Ehlers, DCNPI 1407965114

Title

Chiropractic Physician

Phone

(708) 598-9010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moraine Valley Chiropractic Center Doing business as

Locations

Practitioners 2

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

• Linda Lucienne Ehlers, DC

  • Chiropractor
  • Palos Hills, IL
  • NPI 1407965114
  NPD (past) Authorized official
• Susan L Dascenzi, LCSW

  • Clinical Social Worker
  • Hickory Hills, IL
  • NPI 1316107303
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1417928813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 WEST 95TH STREET",
            "address_2": "SUITE 2-3",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572727",
            "telephone_number": "708-598-9010",
            "fax_number": "708-598-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WEST 95TH STREET",
            "address_2": "SUITE 2-3",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572727",
            "telephone_number": "708-598-9010",
            "fax_number": "708-598-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAINE VALLEY WELLNESS CENTERS CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LUCIENNE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "708-598-9010",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1682634",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moraine Valley Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Eugene Malecki, MD
• Christian Marquez
• Sherry Mauritzen, CSADC
• Colleen Marie McNally, M.A., L.C.P.C.,
• Mobility Systems & Solutions, Inc.
• Timothy J. Morrison, O.D.
• Viviana Mota
• Toyin Myrick
• Kim Neumann
• Abby Leigh Nieves, MSPT

• Chiropractor in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.