Healthsource of Willowbrook, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE OF WILLOWBROOK, LTD.

Practice address

555 Plainfield Rd
Suite B
Willowbrook, IL 60527-7602

Phone

(630) 887-9400

Fax

(630) 887-9495

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Ross Mersinger, D.C.

Title

Secretary

Phone

(630) 887-9400

Specialties & licenses 1

Addresses

Other names 1

• Physical Health & Wellness Center Former legal business name

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1487718649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLAINFIELD RD",
            "address_2": "SUITE B",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277602",
            "telephone_number": "630-887-9400",
            "fax_number": "630-887-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLAINFIELD RD",
            "address_2": "SUITE B",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277602",
            "telephone_number": "630-887-9400",
            "fax_number": "630-887-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF WILLOWBROOK, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MERSINGER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-887-9400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Health & Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah I Hasan, PA
• Matthew Hatzl, DPT
• Krista M Haun, FNP
• Richelle Theresa Headley, APN, FNP-C
• Health Team Corporation
• Laura A Heath, PT
• Ashley Monet Henry, FNP-BC
• John C Heyer, DO
• Highland Park CVS LLC
• Hinsdale and Oakbrook Womens Clinic LTD

• Chiropractor in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.