Active NPI
The Wellness Source of Glenview Inc
- Chiropractor
- Glenview, IL
National Provider Identifier
1487105730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- THE WELLNESS SOURCE OF GLENVIEW INC
- Practice address
- 1245 Milwaukee Ave
Suite 202
Glenview, IL 60025-2400 - Phone
- (224) 567-8580
- NPI assigned
- Oct 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Kuennen, DC
- Title
- Owner
- Phone
- (224) 567-8580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1245 Milwaukee Ave
Suite 202
Glenview, IL 60025-2400
Mailing address
1245 Milwaukee Ave
Suite 202
Glenview, IL 60025-2400
Phone (224) 567-8580
National Provider Directory
National Provider DirectoryLocations
1245 Milwaukee Ave
Ste 202
Glenview, IL 60025
Phone (224) 567-8580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477008000000",
"number": "1487105730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 MILWAUKEE AVE",
"address_2": "SUITE 202",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252400",
"telephone_number": "224-567-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 MILWAUKEE AVE",
"address_2": "SUITE 202",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252400",
"telephone_number": "224-567-8580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS SOURCE OF GLENVIEW INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A",
"authorized_official_last_name": "KUENNEN",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-567-8580",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.