Renewed Body Chiropractic & Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RENEWED BODY CHIROPRACTIC & WELLNESS CENTER LLC

Practice address

125 N Halsted St Ste 202
Chicago, IL 60661-2160

Phone

(312) 285-2116

Fax

(312) 285-2324

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Aaron A Bryant, DC

Title

Owner

Phone

(336) 509-5846

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1508490244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N HALSTED ST STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612160",
            "telephone_number": "312-285-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N HALSTED ST STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612160",
            "telephone_number": "312-285-2116",
            "fax_number": "312-285-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED BODY CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-509-5846",
        "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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.