White Oak Family Wellness, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012389 Issued in IL

Legal business name

WHITE OAK FAMILY WELLNESS, SC

Practice address

511 Illinois Ave
St Charles, IL 60174-2152

Phone

(630) 442-0057

Fax

(630) 791-0861

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Phillip A Gamble, D.C.

Title

Chiropractic Physician, President

Phone

(630) 442-0057

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1568804136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ILLINOIS AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742152",
            "telephone_number": "630-442-0057",
            "fax_number": "630-791-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ILLINOIS AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742152",
            "telephone_number": "630-442-0057",
            "fax_number": "630-791-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK FAMILY WELLNESS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN, PRESIDENT",
        "authorized_official_telephone_number": "630-442-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cecile Marie White, SLP
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• John H White, M.D.
• Whole Self Counseling

• Chiropractor in St Charles, IL
• Providers in St Charles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.