Active NPI
Interchange Medical Wellness Center
- Chiropractor
- Chicago, IL
National Provider Identifier
1578882940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Chicago, IL
- NPI 1013236694
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": []
}
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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.