NPIMap

Organization Active NPI

Chiropractic Wellness Center, PC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1497726277
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-006431 Issued in IL
Legal business name
CHIROPRACTIC WELLNESS CENTER, PC
Practice address
1813 N Mill St
Suite E
Naperville, IL 60563-1289
Phone
(630) 527-8855
Fax
(630) 527-9159
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Michael J Dalan, D.C.
Title
President
Phone
(630) 527-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-006431 IL Primary

Addresses

Primary practice location

1813 N Mill St
Suite E
Naperville, IL 60563-1289

Mailing address

1813 N Mill St
Suite E
Naperville, IL 60563-1289
Phone (630) 527-8855

Other identifiers 1

IdentifierTypeStateIssuer
2205260OtherILBLUE CROSS BLUE SHIEL

National Provider Directory

National Provider Directory

Locations

1813 N Mill St
Ste E
Naperville, IL 60563
Phone (630) 527-8855

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1497726277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 N MILL ST",
            "address_2": "SUITE E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631289",
            "telephone_number": "630-527-8855",
            "fax_number": "630-527-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 N MILL ST",
            "address_2": "SUITE E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631289",
            "telephone_number": "630-527-8855",
            "fax_number": "630-527-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "DALAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-527-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIEL",
            "identifier": "2205260",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.