Active NPI
Wellness Society LLC
- Chiropractor
- Tinley Park, IL
National Provider Identifier
1497595177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- WELLNESS SOCIETY LLC
- Practice address
- 17749 65TH Ave
Tinley Park, IL 60477-4370 - Phone
- (708) 670-2576
- NPI assigned
- May 29, 2024
- 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
- Dr. Brandon Korfel, DC
- Title
- Doctor
- Phone
- (586) 350-6606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
17749 65TH Ave
Tinley Park, IL 60477-4370
Mailing address
17749 65TH Ave
Tinley Park, IL 60477-4370
Other names 1
- The W Society
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Crystal Lake, IL
- NPI 1497192546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1497595177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17749 65TH AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604774370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17749 65TH AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604774370",
"telephone_number": "708-670-2576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS SOCIETY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "KORFEL",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "586-350-6606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The W Society",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.