Midwest Wellness Associates LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006027 Issued in IL

Legal business name

MIDWEST WELLNESS ASSOCIATES LLC

Practice address

654 W Veterans Pkwy
Suite B
Yorkville, IL 60560-4567

Phone

(630) 553-1876

Fax

(630) 566-5180

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack K Holley, DCNPI 1023013521

Title

Member Manager

Phone

(630) 553-1876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jack K Holley, DC

  • Chiropractor
  • Yorkville, IL
  • NPI 1023013521
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1508084583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PKWY",
            "address_2": "SUITE B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-1876",
            "fax_number": "630-566-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W VETERANS PKWY",
            "address_2": "SUITE B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-1876",
            "fax_number": "630-566-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WELLNESS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "630-553-1876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne McGregor, M.H.S., CCC-SLP/L
• Jennifer Lynn McKay, PSYD
• MD Yorkville LLC
• Andrzej Michalik, PT
• Midwest Sleep Associates, LLC.
• Loriel Miller, LPC
• Rachel Ann Miller
• Amber Minet
• Mink Resources, LTD.
• Eric Mitra, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.