Organization Active NPI

Interchange Medical Wellness Center

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1578882940
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTERCHANGE MEDICAL WELLNESS CENTER
Practice address
1147 S Wabash Ave # 250
Chicago, IL 60605-2346
Phone
(312) 235-0900
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Amanda Herzer, D.C.
Title
Owner Chiropractic Physician
Phone
(312) 451-4961

Specialties & licenses 1

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

Addresses

Primary practice location

1147 S Wabash Ave # 250
Chicago, IL 60605-2346

Mailing address

1147 S Wabash Ave # 250
Chicago, IL 60605-2346
Phone (312) 235-0900

National Provider Directory

National Provider Directory

Locations

1147 S Wabash Ave
Ste 25
Chicago, IL 60605
Phone (312) 235-0900

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1578882940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE # 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052346",
            "telephone_number": "312-235-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE # 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052346",
            "telephone_number": "312-235-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCHANGE MEDICAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "HERZER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "312-451-4961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 25, 2010; 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.