Organization Active NPI

The Wellness Source of Glenview Inc

  • Chiropractor
  • Glenview, IL
National Provider Identifier
1487105730
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Oct 21, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.