Active NPI
Applied Wellness Center SC
- Nutrition Chiropractor
- Palos Heights, IL
National Provider Identifier
1487722716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 038.008810
- Legal business name
- APPLIED WELLNESS CENTER SC
- Practice address
- 13301 S Ridgeland Ave
Ste a
Palos Heights, IL 60463-0030 - Phone
- (708) 489-3700
- Fax
- (708) 489-3705
- NPI assigned
- Dec 4, 2006
- 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
- Janelle Pattara
- Title
- Biller
- Phone
- (630) 890-2758
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 038008810 | IL | |
| Nutrition Chiropractor | 111NN1001X | 038.008810 | IL | Primary |
Addresses
Primary practice location
13301 S Ridgeland Ave
Ste a
Palos Heights, IL 60463-0030
Mailing address
13301 S Ridgeland Ave
Ste a
Palos Heights, IL 60463-0030
Phone (708) 489-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210819 | Other | IL | MC PROVIDER # |
| 09927458 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
13301 S Ridgeland Ave
Unit A
Palos Heights, IL 60463
Phone (708) 489-3700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Palos Heights, IL
- NPI 1013390384
-
- Nutrition Chiropractor
- Park Ridge, IL
- NPI 1063583946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313366400000",
"number": "1487722716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 S RIDGELAND AVE",
"address_2": "STE A",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604630030",
"telephone_number": "708-489-3700",
"fax_number": "708-489-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 S RIDGELAND AVE",
"address_2": "STE A",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604630030",
"telephone_number": "708-489-3700",
"fax_number": "708-489-3705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLIED WELLNESS CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2011-08-15",
"status": "A",
"authorized_official_last_name": "PATTARA",
"authorized_official_first_name": "JANELLE",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "630-890-2758"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": "038008810",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": "038.008810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC PROVIDER #",
"identifier": "210819",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09927458",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.