Active NPI
Healthsource of Willowbrook, LTD.
- Chiropractor
- Willowbrook, IL
National Provider Identifier
1487718649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
- Last updated
- Dec 18, 2007
- 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
- Christopher Ross Mersinger, D.C.
- Title
- Secretary
- Phone
- (630) 887-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
555 Plainfield Rd
Suite B
Willowbrook, IL 60527-7602
Mailing address
555 Plainfield Rd
Suite B
Willowbrook, IL 60527-7602
Phone (630) 887-9400
Other names 1
- Physical Health & Wellness Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Willowbrook, IL
- NPI 1710041017
NPI Registry JSON
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"
}
]
}
Other providers in Willowbrook, IL
Sources for this page
- 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.