NPIMap

Organization Active NPI

Infinite Wellness Chiropractic, LTD.

  • Family Medicine Physician
  • Glen Carbon, IL
National Provider Identifier
1518152669
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INFINITE WELLNESS CHIROPRACTIC, LTD.
Practice address
220 Evergreen Lane
Unit B
Glen Carbon, IL 62034-6203
Phone
(618) 655-0333
NPI assigned
Sep 12, 2007
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Dr. Ryan J Cleland, D.CNPI 1508051830
Title
President
Phone
(618) 655-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

220 Evergreen Lane
Unit B
Glen Carbon, IL 62034-6203

Mailing address

28 Meadow Rue Dr
Edwardsville, IL 62025-3141
Phone (618) 980-3150

Other practice location 1

5A Club Centre Ct.
Edwardsville, IL 62025
Phone (618) 655-0333

National Provider Directory

National Provider Directory

Locations

5 Club Centre Ct
#A
Edwardsville, IL 62025
Phone (618) 655-0333

2023 Vadalabene Dr
Ste 351
Maryville, IL 62062
Phone (417) 619-8018

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1518152669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MEADOW RUE DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253141",
            "telephone_number": "618-980-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EVERGREEN LANE",
            "address_2": "UNIT B",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620346203",
            "telephone_number": "618-655-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5A Club Centre Ct.",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "62025",
            "country_code": "US",
            "telephone_number": "618-655-0333",
            "fax_number": "618-655-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFINITE WELLNESS CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "CLELAND",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-655-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.