NPIMap

Organization Active NPI

Chicago Pain & Wellness

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1518346337
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011888 Issued in IL
Legal business name
CHICAGO PAIN & WELLNESS
Practice address
110 N Peoria St
Unit 301
Chicago, IL 60607-2396
Phone
(847) 774-8733
Fax
(312) 690-4880
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Justin Martindale, D.C.NPI 1891090767
Title
Principal
Phone
(847) 774-8733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011888 IL Primary

Addresses

Primary practice location

110 N Peoria St
Unit 301
Chicago, IL 60607-2396

Mailing address

110 N Peoria St
Unit 301
Chicago, IL 60607-2396
Phone (847) 774-8733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1518346337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N PEORIA ST",
            "address_2": "UNIT 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072396",
            "telephone_number": "847-774-8733",
            "fax_number": "312-690-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N PEORIA ST",
            "address_2": "UNIT 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072396",
            "telephone_number": "847-774-8733",
            "fax_number": "312-690-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-774-8733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.