Chiro One Wellness Center of Mokena LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF MOKENA LLC

Practice address

19636 La Grange Rd
Mokena, IL 60448-9321

Phone

(708) 478-5822

Fax

(708) 478-5823

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sam Wang, DCNPI 1073520136

Title

Coo

Phone

(630) 468-1824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Chen

  • Chiropractor
  • Mokena, IL
  • NPI 1245691153
  Medicare reassignment NPD
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  NPD (past) Authorized official
• Anthony Abdul Deneal

  • Chiropractor
  • Oak Brook, IL
  • NPI 1457384372
  NPD (past)
• Sylvia Kim

  • Chiropractor
  • Vancouver, WA
  • NPI 1730209800
  NPD (past)
• Cuong Van Nguyen, D.C.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1366486177
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1497761126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "SUITE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 LA GRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489321",
            "telephone_number": "708-478-5822",
            "fax_number": "708-478-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF MOKENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-468-1824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Chen
• Nicole Marie Chenoweth
• Chicago Neurospine Surgery PLLC
• Chicvara & Associates
• Rosalba Chirinos, SA
• Choice Therapy Services, LTD
• Diana Chojna, APRN, CNP
• Abraham Jose Chourio, SA-C
• Chrisoula Georgacopoulos DMD P.C. (Axion Dental)
• Christensen & Sons, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.