Lesley Yan Wong, D.C., L.M.T.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012074 Issued in IL

Practice address

805 E Irving Park Rd
Suite B
Roselle, IL 60172-4320

Phone

(630) 893-4000

NPI assigned

Dec 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reinforce Health and Wellness PCGroup PAC ID 3678739398, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reinforce Health & Wellness, P.C.

  • Chiropractor
  • Roselle, IL
  • NPI 1639448236
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1497023535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 E IRVING PARK RD",
            "address_2": "SUITE B",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722303",
            "telephone_number": "630-893-4000",
            "fax_number": "630-893-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E IRVING PARK RD",
            "address_2": "SUITE B",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724320",
            "telephone_number": "630-893-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LESLEY",
        "middle_name": "YAN",
        "credential": "D.C., L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Weiss, LMT
• Whaba Medical, Inc.
• Sarah Adeline Lucilla Whitchurch, OTR/L
• William Tortoriello, LTD
• William Gerard Wolski, D.D.S.
• World Marc Enterprises, Inc
• Amanda Worth, MA
• Rachel Gabrielle Wulfsohn, M.S., OTR/L
• Yamada Chiropractic Clinic, P.C.
• Yamada Chiropractic Clinic, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.