Nadine M Illichmann, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5374-12 Issued in WI

Practice address

117 Gardner St Ste a
Two Rivers, WI 54241-3205

Phone

(920) 304-9374

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bump and Beyond Family Wellness LLC

  • Chiropractor
  • Two Rivers, WI
  • NPI 1588496996
  NPD Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1578049029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GARDNER ST STE A",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413205",
            "telephone_number": "920-304-9374",
            "fax_number": "920-875-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GARDNER ST STE A",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413205",
            "telephone_number": "920-304-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLICHMANN",
        "first_name": "NADINE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5374-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Horkheimer, CRNA
• Jason Jeffrey Hoyt
• Erin B Humphrey, DO
• Patricia Huston, CRNA
• Amber Hutchison, LPC-IT
• Ahmed Inam-Ul-Haq, MD
• Carolyn Jansen, PT
• Brian Charles Jensen, RPH
• Abigail Rose Johnson, PHARM.D
• Arthur Jordan, CHIROPRACTOR

• Chiropractor in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.