Organization Active NPI

Health Is Wealth Wellness Center Inc

  • Chiropractor
  • Evergreen Park, IL
National Provider Identifier
1568915593
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010996 Issued in IL
Legal business name
HEALTH IS WEALTH WELLNESS CENTER INC
Practice address
3830 W 95TH St
Suite 107
Evergreen Park, IL 60805-2004
Phone
(803) 707-0794
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. Marchelle Simmons, DCNPI 1972767861
Title
Owner
Phone
(803) 707-0794

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 038010996 IL Primary

Addresses

Primary practice location

3830 W 95TH St
Suite 107
Evergreen Park, IL 60805-2004

Mailing address

3830 W 95TH St
Suite 107
Evergreen Park, IL 60805-2004
Phone (803) 707-0794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160811001889 IL Part B Supplier - Clinic/Group Practice 7214221357 Receives reassigned benefits from 1 practitioner
Practice locations: Evergreen Park, IL

National Provider Directory

National Provider Directory

Locations

3835 W 95th St
Evergreen Park, IL 60805
Phone (803) 707-0794

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1568915593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST",
            "address_2": "SUITE 107",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "803-707-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST",
            "address_2": "SUITE 107",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "803-707-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IS WEALTH WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MARCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-707-0794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.